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ELIZABETHTOWN PEDIATRIC DENTISTRY, PLLC

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Company Details

Name: ELIZABETHTOWN PEDIATRIC DENTISTRY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Nov 2019 (6 years ago)
Organization Date: 04 Nov 2019 (6 years ago)
Last Annual Report: 16 Apr 2025 (2 months ago)
Managed By: Members
Organization Number: 1064922
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 103 FINANCIAL PLACE, SUITE 101, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

Registered Agent

Name Role
BEENASH ANWER Registered Agent

Organizer

Name Role
BEENASH ANWER Organizer

Member

Name Role
Beenash Anwer Member

National Provider Identifier

NPI Number:
1659910792
Certification Date:
2020-11-12

Authorized Person:

Name:
DR. BEENASH ANWER
Role:
OWNER/ PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
ELIZABETHTOWN PEDIATRIC DENTISTRY, PLLC Type Conversion

Assumed Names

Name Status Expiration Date
PEDIATRIC DENTISTRY OF ELIZABETHTOWN Inactive 2024-11-18

Filings

Name File Date
Annual Report 2025-04-16
Annual Report 2024-04-08
Annual Report 2023-05-30
Annual Report 2022-05-17
Principal Office Address Change 2021-06-23

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Sources: Kentucky Secretary of State