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Kentucky Center for Oral & Maxillofacial Surgery Inc.

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Company Details

Name: Kentucky Center for Oral & Maxillofacial Surgery Inc.
Legal type: Foreign Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Dec 2021 (3 years ago)
Organization Date: 09 Dec 2021 (4 years ago)
Authority Date: 27 Dec 2021 (3 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 1182836
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40513
City: Lexington
Primary County: Fayette County
Principal Office: 3159 Beaumont Centre Cir Ste 110, Lexington, KY 40513
Place of Formation: DELAWARE

Officer

Name Role
Jeffrey Irving Officer

Director

Name Role
Vacant Vacant Director

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent
Jason E Ford Registered Agent

Secretary

Name Role
Jason E Ford Secretary

Authorized Rep

Name Role
Jason E Ford Authorized Rep

National Provider Identifier

NPI Number:
1457847691
Certification Date:
2022-09-29

Authorized Person:

Name:
MS. REDA S. VAUGHN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
Yes

Contacts:

Fax:
8592760260

Filings

Name File Date
Annual Report 2024-06-28
Annual Report 2023-06-27
Registered Agent name/address change 2023-06-21
Annual Report 2022-09-19

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Sources: Kentucky Secretary of State