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Thomas R. Vivian, DMD, PLLC

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Company Details

Name: Thomas R. Vivian, DMD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Mar 2010 (15 years ago)
Organization Date: 01 Mar 2010 (15 years ago)
Last Annual Report: 20 Aug 2012 (13 years ago)
Managed By: Managers
Organization Number: 0757605
ZIP code: 40059
City: Prospect, River Bluff
Primary County: Jefferson County
Principal Office: 10515 Meeting Street, Suite 104, Prospect, KY 40059
Place of Formation: KENTUCKY

Registered Agent

Name Role
Thomas R Vivian Registered Agent

Manager

Name Role
Thomas Richard Vivian Manager

Organizer

Name Role
Thomas R Vivian Organizer

National Provider Identifier

NPI Number:
1649598921

Authorized Person:

Name:
DR. THOMAS VIVIAN
Role:
DR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5024202891

Assumed Names

Name Status Expiration Date
SMILES ON MEETING STREET Inactive 2015-04-23

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-08-20
Annual Report 2011-07-20
Certificate of Assumed Name 2010-04-23

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Sources: Kentucky Secretary of State