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CSC DENTAL, PC

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Company Details

Name: CSC DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 May 2013 (12 years ago)
Financial Date End: 31 May 2026
Entity Number: 598333
Place of Formation: IDAHO
File Number: 598333
ZIP code: 83616
County: Ada County
Mailing Address: 2720 N MERIDIAN RD EAGLE, ID 83616-3448

Agent

Name Role Address
COLTON CHARLES Agent 2720 N MERIDIAN RD, EAGLE, ID 83616

President

Name Role Address Appointed On
Colton Charles President 1550 E HERITAGE PARK ST, MERIDIAN, ID 83646 2021-04-04

Secretary

Name Role Address Appointed On Resigned On
Stacey Charles Secretary 1550 E HERITAGE PARK ST, MERIDIAN, ID 83646 2024-04-06 2024-04-06

National Provider Identifier

NPI Number:
1447921747
Certification Date:
2021-09-26

Authorized Person:

Name:
DR. COLTON CHARLES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
462988125
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006205923 2025-04-13
Annual Report 0005681595 2024-04-06
Statement of Change of Business Mailing Address 0005446390 2023-10-22
Annual Report 0005181810 2023-04-04
Annual Report 0004683310 2022-04-03

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State