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BROADWAY DENTAL P.S.C.

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Company Details

Name: BROADWAY DENTAL P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Oct 1990 (35 years ago)
Organization Date: 03 Oct 1990 (35 years ago)
Last Annual Report: 19 Oct 2009 (16 years ago)
Organization Number: 0278035
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: 905 OXMOOR WOODS PARKWAY, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
RODNEY B. FULTZ DMD Registered Agent

Shareholder

Name Role
Ellen Harpster Shareholder
Rod Fultz Shareholder

Vice President

Name Role
Ellen Harpster Vice President

President

Name Role
Rod Fultz President

Signature

Name Role
ROD B. FULTZ Signature
ROD FULTZ Signature

Director

Name Role
Rod Fultz Director
Ellen Harpster Director
ROD FULTZ, D.M.D. Director
ELLEN HARPSTER, D.M.D. Director

Incorporator

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

National Provider Identifier

NPI Number:
1639222466

Authorized Person:

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

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

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