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GEORGETOWN SEDATION DENTISTRY PLLC

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Company Details

Name: GEORGETOWN SEDATION DENTISTRY PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Jun 2023 (2 years ago)
Organization Date: 05 Jun 2023 (2 years ago)
Last Annual Report: 05 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1285816
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40324
City: Georgetown
Primary County: Scott County
Principal Office: 150 Mount Vernon Drive, Georgetown, KY 40324
Place of Formation: KENTUCKY

Registered Agent

Name Role
Sam Muwafaq Registered Agent

Member

Name Role
Sam Muwafaq, DMD Member

Organizer

Name Role
George L Fletcher Organizer

National Provider Identifier

NPI Number:
1992582571
Certification Date:
2023-09-06

Authorized Person:

Name:
DR. SAM MUWAFAQ
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Annual Report 2025-03-05
Annual Report 2024-06-06
Registered Agent name/address change 2024-06-06
Principal Office Address Change 2024-06-06
Articles of Organization 2023-06-05

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Sources: Kentucky Secretary of State