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MATTHEW E. CARLSON, DDS, PLLC

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Company Details

Legal Name: MATTHEW E. CARLSON, DDS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 3rd 2019
Expiration date: 31 May 2026
UBI Number: 604 452 164
ZIP code: 98274
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 130 S 15TH ST STE 101, MOUNT VERNON, WA, 98274-4569, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 130 S 15TH ST STE 101, SUITE 3200, MOUNT VERNON, WA, 98274-4569, UNITED STATES

Contact Details

E-Mail: MCARLSON07D@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization, DENTAL

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Registered Agent Information

Name Role
HELSELL FETTERMAN LLP Registered Agent

Key Officers & Management

Name Role Address
MATTHEW CARLSON Executor 5859 CRYSTAL SPRINGS LN, BELLINGHAM, WA, 98226-7497, UNITED STATES
MATTHEW CARLSON, D.D.S. Governing Person 5859 CRYSTAL SPRINGS LN, BELLINGHAM, WA, 98226-7497, UNITED STATES

National Provider Identifier

NPI Number:
1508686981
Certification Date:
2024-10-11

Authorized Person:

Name:
DR. MATTHEW CARLSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
834646284
Plan Year:
2023
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's telephone number:

History

Type Old value New value Date of change
Name change MATTHEW E CARLSON, DDS, PLLC. MATTHEW E. CARLSON, DDS, PLLC 2019-09-13
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