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PORTLAND DENTAL, P.S.C.

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Company Details

Name: PORTLAND DENTAL, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Sep 1990 (35 years ago)
Organization Date: 01 Sep 1990 (35 years ago)
Last Annual Report: 19 Oct 2009 (16 years ago)
Organization Number: 0276873
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: 905 OXMOOR WOODS PKWY, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY
Authorized Shares: 1000

Sole Officer

Name Role
Rod Fultz Sole Officer

Director

Name Role
ROD FULTZ, D.M.D. Director
RON FULTZ, D.M.D. Director
Rod Fultz Director

Incorporator

Name Role
ROD FULTZ, D.M.D. Incorporator

Registered Agent

Name Role
RODNEY B. FULTZ Registered Agent

Shareholder

Name Role
Rod Fultz Shareholder

Signature

Name Role
ROD FULTZ Signature

National Provider Identifier

NPI Number:
1528118601

Authorized Person:

Name:
DR. RODNEY BRENT FULTZ
Role:
SEC TREAS
Phone:

Taxonomy:

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

Contacts:

Former Company Names

Name Action
ROD FULTZ DMD, PSC Old Name

Filings

Name File Date
Administrative Dissolution 2010-11-02
Annual Report 2009-10-19
Annual Report 2008-09-02
Annual Report 2007-02-07
Annual Report 2006-03-14

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Sources: Kentucky Secretary of State