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BRYNDON JAMES BELNAP DDS MS PC

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Company Details

Name: BRYNDON JAMES BELNAP DDS MS PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Nov 2022 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 5001376
Place of Formation: IDAHO
File Number: 851410
ZIP code: 83201
County: Bannock County
Mailing Address: STE B 1133 CALL CREEK DR POCATELLO, ID 83201

Agent

Name Role Address
BRYNDON BELNAP Agent 1133 CALL CREEK DR, SUITE B, POCATELLO, ID 83201

President

Name Role Address Appointed On
BRYNDON BELNAP President 1133 CALL CREEK DR, POCATELLO, ID 83201 2023-10-30

National Provider Identifier

NPI Number:
1407567225
Certification Date:
2022-12-10

Authorized Person:

Name:
DR. BRYNDON JAMES BELNAP
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
920977922
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005953237 2024-10-29
Annual Report 0005452124 2023-10-30
Initial Filing 0005001376 2022-11-28

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State