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Riverpark Dental PLLC

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Company Details

Name: Riverpark Dental PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 May 2024 (a year ago)
Financial Date End: 31 May 2026
Entity Number: 5744299
Place of Formation: IDAHO
File Number: 938089
ZIP code: 83714
County: Ada County
Principal Address: MICHAEL A MOWER 622 ZOE LANE GARDEN CITY, ID 83714
Mailing Address: COLEMAN MOWER 577 W FORDHAM DR EAGLE, ID 83616

Agent

Name Role Address
Coleman Mower Agent 577 W FORDHAM DR, EAGLE, ID 83616-6422

Manager

Name Role Address Appointed On
MICHAEL A MOWER Manager 622 ZOE LANE, GARDEN CITY, ID 83714 2025-06-30

National Provider Identifier

NPI Number:
1144065673
Certification Date:
2024-06-26

Authorized Person:

Name:
COLEMAN MOWER
Role:
DMD
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006332455 2025-06-30
Initial Filing 0005744299 2024-05-21

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State