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  5. DELTA DENTAL OF WASHINGTON

DELTA DENTAL OF WASHINGTON

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Company Details

Legal Name: DELTA DENTAL OF WASHINGTON
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 18th 1954
Expiration date: 31 Oct 2026
UBI Number: 578 024 284
FEIN Number: 91-0621480
ZIP code: 98109
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 400 FAIRVIEW AVE N STE 800, SEATTLE, WA, 98109-5388, UNITED STATES

Contact Details

E-Mail: AP@DELTADENTALWA.COM
Phone Number: +1 800-554-1907
+1 800-572-7835

Nature of Business

DDWA WILL REVOLUTIONIZE THE ORAL HEALTH INDUSTRY AND IMPROVE OVERALL HEALTH.

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Registered Agent Information

Name Role
FAIRCHILD RECORD SEARCH, LTD. Registered Agent

Key Officers & Management

Name Role
ELISSA MAYNARD Governing Person
RANDA MINKARAH Governing Person
FRED RIVERA Governing Person
DENNIS BRADSHAW Governing Person
DILIP WAGLE Governing Person
MARK MITCHKE Governing Person
SCOTT ARMSTRONG Governing Person
KATHERINE HAKES Governing Person
CAROL NELSON Governing Person
CHRISTOPHER PICKEL Governing Person

Commercial and government entity program

CAGE number:
8VW98
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-19
CAGE Expiration:
2028-03-22
SAM Expiration:
2024-03-19
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
JESSICA HUBLY
Corporate URL:
www.deltadentalwa.com

National Provider Identifier

NPI Number:
1174979918
Link:
View on NPI website

Authorized Person:

Name:
MR. BRADLEY A BERG
Role:
COO & CFO
Phone:
2065282340

Taxonomy:

Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
Yes

Contacts:

Phone:
+1 206-528-2351

Form 5500 Series

Employer Identification Number (EIN):
910621480
Plan Year:
2023
Number Of Participants:
622
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
ANA AMTHOR(Plan administrator)
Plan Year:
2022
Number Of Participants:
576
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
ANA AMTHOR(Plan administrator)
Plan Year:
2021
Number Of Participants:
538
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
TARA PAUGH(Plan administrator)
Plan Year:
2020
Number Of Participants:
525
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
TARA PAUGH(Plan administrator)
Plan Year:
2019
Number Of Participants:
509
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
TARA PAUGH(Plan administrator)

Tax Exempt

Employer Identification Number (EIN):
91-0621480
In Care Of Name:
% SAMANTHA MORCOM
Ruling Date:
1960-09
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)

Copies of Returns

Return Type:
990O
Tax Period:
202212
Link:
Download 990O
Return Type:
990O
Tax Period:
202112
Link:
Download 990O
Return Type:
990O
Tax Period:
202012
Link:
Download 990O

Trademarks

Serial Number:
98821144
Mark:
THE TOOTH FAIRY EXPERIENCE
Status:
PUBLICATION/ISSUE REVIEW COMPLETE
Mark Type:
TRADEMARK, SERVICE MARK
Application Filing Date:
2024-10-25
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
THE TOOTH FAIRY EXPERIENCE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Downloadable educational publications, namely, printable worksheets and activity sheets in the field of dentistry and dental health
First Use:
2018-09-01
International Classes:
009 - Primary Class
Class Status:
Active
For:
Printed publications, namely, educational books and pamphlets, children's books, activity sheets, activity books, and coloring books in the field of dentistry a...
First Use:
2018-09-01
International Classes:
016 - Primary Class
Class Status:
Active
For:
Providing a website featuring news and information in the field of dentistry and dental health; Providing a website featuring educational resources in the field...
First Use:
2018-09-01
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
98586585
Mark:
DENTAL CAREER DISCOVERY: A HANDS-ON JOURNEY
Status:
NOTICE OF ALLOWANCE - ISSUED
Mark Type:
TRADEMARK, SERVICE MARK
Application Filing Date:
2024-06-05
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
DENTAL CAREER DISCOVERY: A HANDS-ON JOURNEY
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Educational services, namely, conducting classes, seminars and workshops in the field of dentistry and careers in dentistry and distribution of training materia...
International Classes:
041 - Primary Class
Class Status:
Active
For:
downloadable educational materials in the nature of course curriculum, course materials, and training materials the field of dentistry, careers in dentistry, an...
International Classes:
009 - Primary Class
Class Status:
Active
Serial Number:
87418582
Mark:
MYSMILE
Status:
A Sections 8 and 15 combined declaration has been accepted and acknowl...
Mark Type:
Service Mark
Application Filing Date:
2017-04-20
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
MYSMILE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing an internet website portal that provides personalized information on dental insurance plans and provides information regarding insurance claims and ac...
First Use:
2015-03-12
International Classes:
036 - Primary Class
Class Status:
ACTIVE
For:
Providing an internet website portal for insurance pre-authorization featuring technology that allows patients and their dentists to input information and recei...
First Use:
2015-03-12
International Classes:
042 - Primary Class
Class Status:
ACTIVE
Serial Number:
86631635
Mark:
MYSMILE COST GENIE
Status:
SECTION 8 & 15-ACCEPTED AND ACKNOWLEDGED
Mark Type:
SERVICE MARK
Application Filing Date:
2015-05-15
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
MYSMILE COST GENIE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
providing an interactive website for insurance pre-authorization featuring technology that allows patients and their dentists to input information and receive a...
First Use:
2015-03-13
International Classes:
042 - Primary Class
Class Status:
Active
Serial Number:
78833690
Mark:
SIMPLEACCESS
Status:
The registration has been renewed.
Mark Type:
Service Mark
Application Filing Date:
2006-03-09
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
SIMPLEACCESS
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
administration of pre-paid dental care plans
First Use:
2006-11-30
International Classes:
036 - Primary Class
Class Status:
ACTIVE

Labor Condition Applications

Case Number:
I-200-24184-168265
Program:
H-1B
Job Title:
Data Quality Assurance Engineer
SOC (ONET/OES) code:
15-1253.00
SOC (ONET/OES) occupation title:
Software Quality Assurance Analysts and Testers
Begin Date:
2024-07-30
End Date:
2027-07-29

Employment and Wage Information

Address:
400 Fairview Avenue N, Suite 800, Seattle, KING, WA, 98109
Wage Rate Paid to Nonimmigrant Workers:
$110,000
Per:
Year
Prevailing Wage Rate:
$99,736
Case Number:
I-200-24183-166139
Program:
H-1B
Job Title:
Data Quality Assurance Engineer
SOC (ONET/OES) code:
15-1253.00
SOC (ONET/OES) occupation title:
Software Quality Assurance Analysts and Testers
Begin Date:
2024-07-30
End Date:
2027-07-29

Employment and Wage Information

Address:
400 Fairview Avenue N, Suite 800, Seattle, KING, WA, 98109
Wage Rate Paid to Nonimmigrant Workers:
$110,000
Per:
Year
Prevailing Wage Rate:
$99,736
Case Number:
I-200-22251-462042
Program:
H-1B
Job Title:
Senior Product Manager-Artificial Intelligence
SOC (ONET/OES) code:
15-1299.09
SOC (ONET/OES) occupation title:
Information Technology Project Managers
Begin Date:
2022-10-01
End Date:
2025-09-30

Employment and Wage Information

Address:
350 Essex Street, Apt. 15, Salem, ESSEX, MA, 1970
Wage Rate Paid to Nonimmigrant Workers:
$157,000
Per:
Year
Prevailing Wage Rate:
$121,555
Case Number:
I-200-21270-606783
Program:
H-1B
Job Title:
Senior Data Engineer
SOC (ONET/OES) code:
15-1111.00
SOC (ONET/OES) occupation title:
Computer and Information Research Scientists
Begin Date:
2021-10-26
End Date:
2024-10-25

Employment and Wage Information

Address:
400 Fairview Avenue North, Suite 800, Seattle, KING, WA, 98109
Wage Rate Paid to Nonimmigrant Workers:
$145,000
Per:
Year
Prevailing Wage Rate:
$130,146
Case Number:
I-200-21252-575413
Program:
H-1B
Job Title:
Senior Data Scientist
SOC (ONET/OES) code:
15-1111.00
SOC (ONET/OES) occupation title:
Computer and Information Research Scientists
Begin Date:
2021-09-20
End Date:
2024-09-19

Employment and Wage Information

Address:
400 Fairview Avenue N, Suite 800, Seattle, KING, WA, 98109
Wage Rate Paid to Nonimmigrant Workers:
$175,000
Per:
Year
Prevailing Wage Rate:
$163,883

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