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BRECKENRIDGE DENTAL P.S.C.

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Company Details

Name: BRECKENRIDGE DENTAL P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Jan 2025 (6 months ago)
Organization Date: 13 Jan 2025 (6 months ago)
Organization Number: 1421150
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 161 Colonial Way, Danville, KY 40422
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
Jeff W. King Registered Agent

Shareholder

Name Role
Jeff W. King Shareholder

Incorporator

Name Role
Jeff W. King Incorporator

National Provider Identifier

NPI Number:
1396545083
Certification Date:
2025-03-18

Authorized Person:

Name:
JEFF KING
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
5024515263

Filings

Name File Date
Articles of Incorporation (Professional) 2025-01-13

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Sources: Kentucky Secretary of State