AMY PUGH DMD PS

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Company Details

Legal Name:	AMY PUGH DMD PS
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 5th 2012
Expiration date:	30 Apr 2026
UBI Number:	603 196 693
ZIP code:	98684
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	13115 NE 4TH ST STE 250, VANCOUVER, WA, 98684-5960, UNITED STATES
Principal Office Mailing Address:	PO BOX 87460, VANCOUVER, WA, 98687-7460, UNITED STATES

Contact Details

E-Mail:	JOHN@DOCTORAMYPUGH.COM
Phone Number:	+1 360-256-7455

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JOHN PUGH	Registered Agent	13115 NE 4TH ST STE 250, VANCOUVER, WA, 98684-5960, UNITED STATES

Key Officers & Management

Name	Role	Address
AMY PUGH	Governing Person	713 NW 120TH ST, VANCOUVER, WA, 98685-2495, UNITED STATES

National Provider Identifier

NPI Number:

1831454990

Link:

View on NPI website

Authorized Person:

Name:

AMY PUGH

Role:

PRESIDENT

Phone:

3602567455

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 360-256-7455

Fax:

3608925533

Form 5500 Series

Employer Identification Number (EIN):

454988906

Plan Year:

2024

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3602567455

File:

Plan Administrator / Signatory:

KEVIN BOERCKER(Plan administrator)

Plan Year:

2023

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3602567455

File:

Plan Administrator / Signatory:

KEVIN BOERCKER(Plan administrator)

Plan Year:

2022

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

3602567455

File:

Plan Administrator / Signatory:

AMY PUGH(Plan administrator) AMY PUGH(Employer/plan sponsor)

Plan Year:

2021

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3602567455

File:

Plan Administrator / Signatory:

AMY PUGH(Plan administrator) AMY PUGH(Employer/plan sponsor)

Plan Year:

2020

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3602567455

File:

Plan Administrator / Signatory:

AMY PUGH(Plan administrator)

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