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JEPPSON ENDODONTICS, PLLC

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Company Details

Name: JEPPSON ENDODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 07 Dec 2016 (9 years ago)
Date dissolved: 25 Mar 2019
Entity Number: 530631
Place of Formation: IDAHO
File Number: 530631
ZIP code: 83448
County: Madison County
Principal Address: 10 E THIRD N SUGAR CITY, ID 83448
Mailing Address: 10 E 3RD N SUGAR CITY, ID 83448-1319

Agent

Name Role Address
LESLIE GENE JEPPSON Agent 10 E THIRD N, SUGAR CITY, ID 83448

National Provider Identifier

NPI Number:
1073947958

Authorized Person:

Name:
DR. JOSHUA JEPPSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003461591 2019-03-25
Annual Report 0003372491 2018-12-14
Legacy Amendment 0000924523 2017-12-15
Annual Report 0003139754 2017-12-07
Initial Filing 0000530631 2016-12-07

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State