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Bowling Green Pediatric Dentistry PLLC

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Company Details

Name: Bowling Green Pediatric Dentistry PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Feb 2020 (5 years ago)
Organization Date: 06 Feb 2020 (5 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1086401
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 1135 Teal Street, Bowling Green, KY 42104
Place of Formation: KENTUCKY

Registered Agent

Name Role
Matthew Nicholson Damin Registered Agent

Organizer

Name Role
Matthew Nicholson Damin Organizer

Member

Name Role
Matthew Nicholson Damin Member

National Provider Identifier

NPI Number:
1962010611
Certification Date:
2025-03-28

Authorized Person:

Name:
DR. MATTHEW DAMIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2707150931

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-05-30
Annual Report 2022-04-25
Annual Report 2021-05-26
Annual Report 2020-06-27

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Sources: Kentucky Secretary of State