J. LOTHYAN, D.D.S., P.L.L.C.

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Company Details

Legal Name:	J. LOTHYAN, D.D.S., P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	September 10th 2009
Expiration date:	30 Sep 2025
UBI Number:	602 952 949
ZIP code:	98390
City:	Sumner
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	16209 64TH ST E, SUITE 102, SUMNER, WA, 98390-3070, UNITED STATES

Contact Details

E-Mail:

RAGENT@KELLERROHRBACK.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
KR SERVICES, LLC	Registered Agent

Key Officers & Management

Name	Role
JARED LOTHYAN, D.D.S.	Governing Person

National Provider Identifier

NPI Number:

1144556127

Link:

View on NPI website

Authorized Person:

Name:

MS. JESSICA A BARTLETT

Role:

INSURANCE BILLING

Phone:

4252555532

Taxonomy:

Selected Taxonomy:

1223P0221X - Pediatric Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 253-833-5137

Fax:

2539396024

Form 5500 Series

Employer Identification Number (EIN):

270861677

Plan Year:

2023

Number Of Participants:

23

Plan Name:

401(K)

Sponsor's telephone number:

2538335137

File:

Plan Administrator / Signatory:

JARED LOTHYAN(Plan administrator)

Plan Year:

2023

Number Of Participants:

15

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2538335137

Plan Administrator / Signatory:

JARED LOTHYAN(Plan administrator)

Plan Year:

2022

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

2538335137

File:

Plan Administrator / Signatory:

JARED LOTHYAN(Plan administrator)

Plan Year:

2022

Number Of Participants:

15

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2538335137

File:

Plan Administrator / Signatory:

JARED LOTHYAN(Plan administrator)

Plan Year:

2021

Number Of Participants:

18

Plan Name:

401(K)

Sponsor's telephone number:

2538335137

File:

Plan Administrator / Signatory:

JARED LOTHYAN(Plan administrator)

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