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Sawtooth Periodontics PLLC

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Company Details

Name: Sawtooth Periodontics PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2026
Entity Number: 5628906
Place of Formation: IDAHO
File Number: 924561
ZIP code: 83642
County: Ada County
Principal Address: 4681 SOUTH MARTINEL WAY MERIDIAN, ID 83642
Mailing Address: 4681 S MARTINEL WAY MERIDIAN, ID 83642-7341

Agent

Name Role Address
KIP T KATSEANES Agent 4681 SOUTH MARTINEL WAY, MERIDIAN, ID 83642

Managing Member

Name Role Address Appointed On
KIP T KATSEANES Managing Member 4681 SOUTH MARTINEL WAY, MERIDIAN, ID 83642 2025-02-24

National Provider Identifier

NPI Number:
1184482317
Certification Date:
2024-03-12

Authorized Person:

Name:
DR. KIP KATSEANES
Role:
OWNER/DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006126087 2025-02-24
Initial Filing 0005628906 2024-03-04

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State