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BLYSTONE DENTAL PLLC

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Company Details

Name: BLYSTONE DENTAL PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Mar 2024 (a year ago)
Organization Date: 12 Mar 2024 (a year ago)
Last Annual Report: 16 Dec 2024 (6 months ago)
Managed By: Members
Organization Number: 1348900
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40204
City: Louisville
Primary County: Jefferson County
Principal Office: 642 Baxter Ave Ste 110, Louisville, KY 40204
Place of Formation: KENTUCKY

Registered Agent

Name Role
Ailey Blystone Registered Agent

Organizer

Name Role
Ailey Blystone Organizer

National Provider Identifier

NPI Number:
1104675875
Certification Date:
2024-05-15

Authorized Person:

Name:
DR. AILEY BLYSTONE
Role:
PRACTICE OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Annual Report 2024-12-16
Principal Office Address Change 2024-06-04
Articles of Organization 2024-03-12

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Sources: Kentucky Secretary of State