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HIGHLAND DENTAL DRE, PLLC

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Company Details

Name: HIGHLAND DENTAL DRE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 May 2024 (a year ago)
Organization Date: 30 May 2024 (a year ago)
Managed By: Managers
Organization Number: 1368269
ZIP code: 40507
City: Lexington
Primary County: Fayette County
Principal Office: 105 Spruce Street, Suite 175, Lexington, KY 40507
Place of Formation: KENTUCKY

Registered Agent

Name Role
J. Gregory White Registered Agent

Organizer

Name Role
Tricia A. Shackelford Organizer

National Provider Identifier

NPI Number:
1043050628
Certification Date:
2024-05-30

Authorized Person:

Name:
ELIZABETH DAVIS
Role:
DIRECTOR OF REVENUE
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filings

Name File Date
Articles of Organization 2024-05-30

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Sources: Kentucky Secretary of State