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Louisville Dental Sleep Medicine, PLLC

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Company Details

Name: Louisville Dental Sleep Medicine, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Apr 2012 (13 years ago)
Organization Date: 19 Apr 2012 (13 years ago)
Managed By: Members
Organization Number: 0827190
ZIP code: 40220
City: Louisville, Cambridge, Houston Acres, Hurstbourne Ac...
Primary County: Jefferson County
Principal Office: 8921 Stone Green Way, Louisville, KY 40220
Place of Formation: KENTUCKY

Organizer

Name Role
Michael A Brown Organizer

Registered Agent

Name Role
Michael A Brown Registered Agent

National Provider Identifier

NPI Number:
1912354200

Authorized Person:

Name:
DR. JOHN MERTON MCCRILLIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5024587797

Filings

Name File Date
Dissolution 2012-07-24

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Sources: Kentucky Secretary of State