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TDS Ky Five, LLC

Company Details

Name: TDS Ky Five, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Feb 2020 (5 years ago)
Organization Date: 20 Feb 2020 (5 years ago)
Last Annual Report: 16 Dec 2024 (6 months ago)
Managed By: Managers
Organization Number: 1088241
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: P.O BOX 1607, NEW ALBANY, IN 47151
Place of Formation: KENTUCKY

Registered Agent

Name Role
BRADLEY R. HARMON, DDS Registered Agent

Member

Name Role
Bradley Harmon Member

Organizer

Name Role
GREGORY S CONDRA Organizer

Manager

Name Role
David Schellenberger Manager

National Provider Identifier

NPI Number:
1013532415
Certification Date:
2020-06-11

Authorized Person:

Name:
ADRIENNE NICHOLSON
Role:
REGIONAL MANAGER
Phone:

Taxonomy:

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

Contacts:

Assumed Names

Name Status Expiration Date
ST. MATTHEWS FAMILY DENTAL Active 2030-02-24
Klein Dental Group Active 2027-02-07
Jeffery Klein, DMD Expiring 2025-10-02
Klein & Klein Expiring 2025-10-02

Filings

Name File Date
Certificate of Assumed Name 2025-02-24
Reinstatement 2024-12-16
Reinstatement Certificate of Existence 2024-12-16
Reinstatement Approval Letter Revenue 2024-12-16
Administrative Dissolution 2024-10-12

Sources: Kentucky Secretary of State