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LICKING VALLEY DENTAL ASSOCIATES, PSC

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Company Details

Name: LICKING VALLEY DENTAL ASSOCIATES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 22 Dec 2006 (18 years ago)
Organization Date: 22 Dec 2006 (18 years ago)
Last Annual Report: 17 Mar 2016 (9 years ago)
Organization Number: 0653535
ZIP code: 41031
City: Cynthiana
Primary County: Harrison County
Principal Office: 114 SOUTH MAIN STREET, CYNTHIANA, KY 41031
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
DR. JAMES CLYDE Incorporator

Registered Agent

Name Role
DR. JAMES CLYDE, D.M.D. Registered Agent

President

Name Role
JAMES S CLYDE, DMD President

Shareholder

Name Role
JAMES S CLYDE DMD Shareholder

Signature

Name Role
JAMES S CLYDE Signature

National Provider Identifier

NPI Number:
1982769154

Authorized Person:

Name:
DR. JAMES STEPHEN CLYDE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8592343332

Filings

Name File Date
Reinstatement Approval Letter Revenue 2019-10-23
Reinstatement Approval Letter Revenue 2019-08-26
Administrative Dissolution 2017-10-09
Annual Report 2016-03-17
Annual Report 2015-04-17

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Sources: Kentucky Secretary of State