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E.T. DENTAL, LLC

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Company Details

Name: E.T. DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Dec 2017 (8 years ago)
Financial Date End: 31 Dec 2025
Date dissolved: 25 Mar 2025
Entity Number: 582475
Place of Formation: IDAHO
File Number: 582475
ZIP code: 83837
County: Shoshone County
Mailing Address: 418 W CAMERON AVE KELLOGG, ID 83837-2111
Mailing Address: 2456 E MOUNTAIN VISTA DR COEUR D ALENE, ID 83815-8585

Agent

Name Role Address
TEEMU SCARBOROUGH Agent 2456 E MOUNTAIN VISTA DR, COEUR D ALENE, ID 83815

Member

Name Role Address Appointed On
Teemu Scarborough Member 418 WEST CAMERON AVENUE, KELLOGG, ID, USA, KELLOGG, ID 83837 2020-11-03

Manager

Name Role Address Appointed On
Aaron Dollahite Manager 418 WEST CAMERON AVENUE, KELLOGG, ID, USA, KELLOGG, ID 83837 2023-11-03

National Provider Identifier

NPI Number:
1154935039
Certification Date:
2020-09-08

Authorized Person:

Name:
AARON DOLLAHITE
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006255101 2025-05-14
Dissolution/Revocation - Administrative 0006170052 2025-03-25
Annual Report 0005458381 2023-11-03
Annual Report 0004995982 2022-11-17
Annual Report 0004485445 2021-11-04

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State