SHILLINGER DDS, PS

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Company Details

Legal Name:	SHILLINGER DDS, PS
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 16th 2008
Expiration date:	31 Dec 2025
UBI Number:	602 885 654
ZIP code:	98662
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	11100 NE COXLEY DR, VANCOUVER, WA, 98662, UNITED STATES

Contact Details

E-Mail:	SMILE@DENTUS.COM
Phone Number:	+1 360-254-9700

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
KIRK SHILLINGER	Registered Agent	11100 NE COXLEY DR, VANCOUVER, WA, 98662-6193, UNITED STATES

Key Officers & Management

Name	Role
KIRK SHILLINGER	Governing Person

National Provider Identifier

NPI Number:

1841436961

Certification Date:

2022-03-17

Link:

View on NPI website

Authorized Person:

Name:

DR. KIRK M SHILLINGER

Role:

OWNER / DENTIST

Phone:

3602549700

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 360-254-9700

Fax:

3602545580

Form 5500 Series

Employer Identification Number (EIN):

263885172

Plan Year:

2023

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

3602549700

File:

Plan Administrator / Signatory:

KIRK SHILLINGER(Plan administrator)

Plan Year:

2022

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

3602549700

File:

Plan Administrator / Signatory:

KIRK SHILLINGER(Plan administrator)

Plan Year:

2021

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

3602549700

File:

Plan Administrator / Signatory:

KIRK SHILLINGER(Plan administrator)

Plan Year:

2020

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

3602549700

File:

Plan Administrator / Signatory:

KIRK SHILLINGER(Plan administrator)

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