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INTEGRITY CARE DENTAL, PLLC

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Company Details

Name: INTEGRITY CARE DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jun 2001 (24 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 61112
Place of Formation: IDAHO
File Number: 61112
ZIP code: 83661
County: Payette County
Principal Address: 1105 3RD AVE N PAYETTE, ID 83661
Mailing Address: 1105 3RD AVE N PAYETTE, ID 83661-2407

Agent

Name Role Address
JUSTIN CRAIG SMITH Agent 1105 3RD AVE NORTH, PAYETTE, ID 83661

Member

Name Role Address Appointed On
Justin Smith Member 1105 3RD AVE N, PAYETTE, ID 83661 2020-08-05

National Provider Identifier

NPI Number:
1306603386
Certification Date:
2024-03-05

Authorized Person:

Name:
DR. JUSTIN CRAIG SMITH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086423554

Filing

Filing Name Filing Number Filing date
Annual Report 0005789087 2024-06-26
Annual Report 0005298206 2023-06-30
Annual Report 0004739515 2022-05-09
Annual Report 0004295259 2021-06-01
Amendment to Certificate 0003999819 2020-09-09

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State