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MODERN KIDS DENTISTRY OF LOUISVILLE, PLLC

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Company Details

Name: MODERN KIDS DENTISTRY OF LOUISVILLE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Sep 2024 (9 months ago)
Organization Date: 24 Sep 2024 (9 months ago)
Owned By: Veteran Owned
Managed By: Managers
Organization Number: 1397440
ZIP code: 40243
City: Louisville, Douglass Hills, Douglass Hls, Middletown...
Primary County: Jefferson County
Principal Office: 129 N EVERGREEN RD #A, LOUISVILLE, KY 40243
Place of Formation: KENTUCKY

Organizer

Name Role
STEPHEN R CUSTER, ATTORNEY, PLLC Organizer

Registered Agent

Name Role
JUSTIN M RAYBOULD Registered Agent

National Provider Identifier

NPI Number:
1104646983
Certification Date:
2024-10-15

Authorized Person:

Name:
DR. JUSTIN M RAYBOULD
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Articles of Organization 2024-09-24

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Sources: Kentucky Secretary of State