DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC

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Company Details

Legal Name:	DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 19th 2012
Expiration date:	31 Oct 2025
UBI Number:	603 247 506
ZIP code:	98005
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	13401 NE BEL RED RD, STE A-7, BELLEVUE, WA, 98005-2322, UNITED STATES

Contact Details

E-Mail:	SERVICECO@MPBA.COM
Phone Number:	+1 206-619-6030

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
RSC CORPORATION	Registered Agent

Key Officers & Management

Name	Role
ISSA DKEIDEK	Governing Person
WILL FERNYHOUGH	Governing Person
CARRIE YORK	Governing Person
THOMAS QUICKSTAD	Governing Person
MICHAEL GILE	Governing Person
DAVID HAGEL	Governing Person

National Provider Identifier

NPI Number:

1871968669

Link:

View on NPI website

Authorized Person:

Name:

DR. MIKE GILE

Role:

CHAIRMAN

Phone:

4257479141

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

No

Selected Taxonomy:

1223P0300X - Periodontist

Is Primary:

No

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 425-747-9141

Form 5500 Series

Employer Identification Number (EIN):

461267800

Plan Year:

2021

Number Of Participants:

107

Plan Name:

401(K)

Sponsor's DBA Name:

EVIDENT ALLIANCE

Sponsor's telephone number:

2066196030

File:

Plan Year:

2020

Number Of Participants:

103

Plan Name:

401(K)

Sponsor's DBA Name:

EVIDENT ALLIANCE

Sponsor's telephone number:

2066196030

File:

Plan Administrator / Signatory:

BRENT FERNYHOUGH(Plan administrator) BRENT FERNYHOUGH(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

92

Plan Name:

401(K)

Sponsor's DBA Name:

EVIDENT ALLIANCE

Sponsor's telephone number:

2066196030

File:

Plan Administrator / Signatory:

MICHAEL GIL(Plan administrator) MICHAEL GILE(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

66

Plan Name:

401(K)

Sponsor's DBA Name:

EVIDENT ALLIANCE

Sponsor's telephone number:

2066196030

File:

Plan Administrator / Signatory:

MICHAEL GILE(Plan administrator) MICHAEL GILE(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

68

Plan Name:

401(K)

Sponsor's DBA Name:

EVIDENT ALLIANCE

Sponsor's telephone number:

2066193243

File:

Plan Administrator / Signatory:

MICHAEL GILE(Plan administrator) MICHAEL GILE(Employer/plan sponsor)

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