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JAMES D. PHILLIPS, D.M.D., P.S.C.

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Company Details

Name: JAMES D. PHILLIPS, D.M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Dec 1980 (45 years ago)
Organization Date: 10 Dec 1980 (45 years ago)
Last Annual Report: 13 Apr 2010 (15 years ago)
Organization Number: 0163658
ZIP code: 42450
City: Providence
Primary County: Webster County
Principal Office: 125 EAST MAIN ST., PROVIDENCE, KY 42450
Place of Formation: KENTUCKY
Common No Par Shares: 300

President

Name Role
James D Phillips D.M.D President

Vice President

Name Role
Phyllis P Phillips Vice President

Director

Name Role
LARRY D. THOMAS Director
JAMES D. PHILLIPS Director

Shareholder

Name Role
James D Phillips Shareholder

Secretary

Name Role
Sharon W Alsbrooks Secretary

Treasurer

Name Role
Sharon W Alsbrooks Treasurer

Incorporator

Name Role
LARRY D. THOMAS Incorporator
JAMES D. PHILLIPS Incorporator

Registered Agent

Name Role
JAMES D. PHILLIPS Registered Agent

Signature

Name Role
JAMES D PHILLIPS Signature

National Provider Identifier

NPI Number:
1588832828

Authorized Person:

Name:
JAMES D. PHILLIPS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2706677630

Former Company Names

Name Action
JAMES D. PHILLIPS, D.M.D., P.S.C. AND STEVE E. CRIDER, D.M.D., P.S.C. Old Name
PROVIDENCE DENTAL CLINIC, P.S.C. Old Name

Filings

Name File Date
Dissolution 2011-01-03
Annual Report 2010-04-13
Annual Report 2009-06-25
Annual Report 2008-03-25
Annual Report 2007-02-12

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Sources: Kentucky Secretary of State