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HENDERSON CHILDREN'S DENTISTRY PLLC

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Company Details

Name: HENDERSON CHILDREN'S DENTISTRY PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Jan 2023 (2 years ago)
Organization Date: 10 Jan 2023 (2 years ago)
Last Annual Report: 10 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1252171
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42420
City: Henderson
Primary County: Henderson County
Principal Office: 700 Barret Blvd., Suite A, Henderson, KY 42420
Place of Formation: KENTUCKY

Registered Agent

Name Role
BRAD FULKERSON, DMD, MSD, LLC Registered Agent

Member

Name Role
Caylee Ervin Ervin Dentistry, LLC Member
Brad Fulkerson Brad Fulkerson DMD, MSD Member

Organizer

Name Role
Sean Cote Organizer

National Provider Identifier

NPI Number:
1144916941
Certification Date:
2023-04-14

Authorized Person:

Name:
DR. BRAD FULKERSON
Role:
MEMBER/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2708278272

Filings

Name File Date
Annual Report 2025-03-10
Annual Report 2024-03-23
Articles of Organization 2023-01-10

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Sources: Kentucky Secretary of State