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Bardstown On Call Dental, PLLC

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Company Details

Name: Bardstown On Call Dental, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Mar 2017 (8 years ago)
Organization Date: 23 Mar 2017 (8 years ago)
Last Annual Report: 03 May 2018 (7 years ago)
Managed By: Managers
Organization Number: 0980483
ZIP code: 40004
City: Bardstown
Primary County: Nelson County
Principal Office: 621 N 3rd St, Bardstown, KY 40004
Place of Formation: KENTUCKY

Registered Agent

Name Role
Jay Claywell Registered Agent

Manager

Name Role
Jay R Claywell Manager

Organizer

Name Role
david cohen Organizer

National Provider Identifier

NPI Number:
1013443894

Authorized Person:

Name:
DR. JAY RYAN CLAYWELL
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
5023487260

Filings

Name File Date
Dissolution 2019-05-15
Annual Report 2018-05-03

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Sources: Kentucky Secretary of State