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MICHAEL SHIPP, DMD, P.A.

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Company Details

Name: MICHAEL SHIPP, DMD, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Jul 2008 (17 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 542295
Place of Formation: IDAHO
File Number: 542295
ZIP code: 83713
County: Ada County
Mailing Address: 6085 N EAGLE RD BOISE, ID 83713-0997

Agent

Name Role Address
ROBERT F THOMAS Agent 6085 N EAGLE RD, BOISE, ID 83713

President

Name Role Address Appointed On
Michael Shipp President 6085 N EAGLE RD, BOISE, ID 83713 2020-08-11

National Provider Identifier

NPI Number:
1851898415

Authorized Person:

Name:
MICHAEL SHIPP
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005758604 2024-06-03
Annual Report 0005263322 2023-06-03
Annual Report 0004813441 2022-07-09
Annual Report 0004302471 2021-06-03
Annual Report 0003968501 2020-08-11

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Date of last update: 13 May 2025

Sources: Idaho Secretary of State