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BOISE TOOTHTOWN DENTISTRY FOR KIDS, PLLC

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Company Details

Name: BOISE TOOTHTOWN DENTISTRY FOR KIDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Jun 2016 (9 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 510653
Place of Formation: IDAHO
File Number: 510653
ZIP code: 83713
County: Ada County
Principal Address: 13014 W PERSIMMON LN. BOISE, ID 83713

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On
Zane Palmer Member 13014 W PERSIMMON LN, BOISE, ID 83713 2024-05-22
Cordell Nebeker Member 13014 W PERSIMMON LN, BOISE, ID 83713 2021-06-11

National Provider Identifier

NPI Number:
1780037705

Authorized Person:

Name:
DR. DENNIS GARTH STODDARD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
2083767580

Filing

Filing Name Filing Number Filing date
Annual Report 0005745638 2024-05-22
Annual Report 0005242034 2023-05-15
Registered Agent Name/Address Change (mass change) 0004895451 2022-09-12
Annual Report 0004745835 2022-05-13
Annual Report 0004313278 2021-06-11

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
83000.00
Total Face Value Of Loan:
0.00

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State