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GEORGETOWN FAMILY DENTISTRY LLC

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Company Details

Name: GEORGETOWN FAMILY DENTISTRY LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Jun 2020 (5 years ago)
Organization Date: 11 Jun 2020 (5 years ago)
Last Annual Report: 18 Jul 2022 (3 years ago)
Managed By: Members
Organization Number: 1100010
ZIP code: 40324
City: Georgetown
Primary County: Scott County
Principal Office: 227 E Main St, Georgetown, KY 40324
Place of Formation: KENTUCKY

Registered Agent

Name Role
JUSTICE DENTAL GEORGETOWN Registered Agent

Member

Name Role
JUSTICE DENTAL GEORGETOWN LLC Member

National Provider Identifier

NPI Number:
1144845439
Certification Date:
2020-06-11

Authorized Person:

Name:
TRISTAN THOMPSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5027530609

Filings

Name File Date
Dissolution 2022-12-09
Annual Report 2022-07-18
Annual Report 2021-05-25
Annual Report 2020-06-12

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Sources: Kentucky Secretary of State