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LEGACY SMILES FAMILY DENTAL, PLLC

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Company Details

Name: LEGACY SMILES FAMILY DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Feb 2004 (21 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 98327
Place of Formation: IDAHO
File Number: 98327
ZIP code: 83642
County: Ada County
Principal Address: 1180 N OLIVE AVE MERIDIAN, ID 83642
Mailing Address: 1180 N OLIVE AVE MERIDIAN, ID 83642-5920

Agent

Name Role Address
JOHN MCMURRAY Agent 1180 N OLIVE AVE, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
John D Mcmurray Manager 13323 W TAPATIO DR, BOISE, ID 83713 2021-01-06
Daxton B Pulham Manager 5905 W STRANT ST, EAGLE, ID 83616 2024-01-03

Member

Name Role Address Appointed On Resigned On
John D McMurray Member 1180 N OLIVE AVE, MERIDIAN, ID 83642 2020-11-08 2021-01-06

National Provider Identifier

NPI Number:
1275646259

Authorized Person:

Name:
BRAD J WILLIAMS
Role:
PARTNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088881691

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006175657 2025-03-27
Annual Report 0006044109 2025-01-03
Annual Report 0005536186 2024-01-03
Annual Report 0005044233 2023-01-03
Amendment to Certificate 0004636535 2022-03-07

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Date of last update: 24 Jun 2025

Sources: Idaho Secretary of State