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MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE, PLLC

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Company Details

Name: MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 02 Sep 1999 (26 years ago)
Organization Date: 02 Sep 1999 (26 years ago)
Last Annual Report: 21 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0479753
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 10300 LINN STATION ROAD, SUITE 100, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

Registered Agent

Name Role
FBT LLC Registered Agent

Manager

Name Role
Mortenson Family Dental Holdings, Inc. Manager

Organizer

Name Role
WT&C CORPORATE SERVICES, INC. Organizer

National Provider Identifier

NPI Number:
1952312118

Authorized Person:

Name:
STEPHEN JAMES
Role:
CFO
Phone:

Taxonomy:

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

Contacts:

Fax:
5028051957
Fax:
5026331509

Filings

Name File Date
Annual Report 2024-06-21
Annual Report 2023-06-12
Annual Report 2022-03-11
Annual Report 2021-04-28
Annual Report 2020-05-08

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Sources: Kentucky Secretary of State