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  5. WASHINGTON DENTAL SERVICE

WASHINGTON DENTAL SERVICE

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Company Details

Legal Name: WASHINGTON DENTAL SERVICE
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 22nd 2009
Expiration date: 31 Jul 2026
UBI Number: 602 940 745
FEIN Number: 27-0937829
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

WE DISRUPT, TRANSFORM AND REVOLUTIONIZE THE ORAL HEALTH INDUSTRY IN ORDER TO REMOVE BARRIERS TO HEALTH CARE AND IMPROVE ORAL HEALTH.

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Registered Agent Information

Name Role
FAIRCHILD RECORD SEARCH, LTD. Registered Agent

Key Officers & Management

Name Role
MARK MITCHKE Governing Person

National Provider Identifier

NPI Number:
1154631117
Link:
View on NPI website

Authorized Person:

Name:
MS. LAURA SMITH
Role:
CEO
Phone:
2065282335

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Phone:
+1 206-528-2337
Fax:
2069854950

Form 5500 Series

Employer Identification Number (EIN):
910621480
Plan Year:
2012
Number Of Participants:
413
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
SUSAN WEBBER(Plan administrator) SUSAN WEBBER(Employer/plan sponsor)
Plan Year:
2011
Number Of Participants:
405
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
SUSAN WEBBER(Plan administrator)
Plan Year:
2010
Number Of Participants:
406
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
TRACY WARNER(Plan administrator)
Plan Year:
2009
Number Of Participants:
415
Sponsor's telephone number:
2065282347
File:
View File
Plan Administrator / Signatory:
LARRY LEOPOLD(Plan administrator) TRACY WARNER(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
287
Sponsor's telephone number:
2065221300
File:
View File
Plan Administrator / Signatory:
LARRY LEOPOLD(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:
1991-07-16
Type:
Referral
Address:
9706 4TH AVE NE, SEATTLE, WA, 98125
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1990-12-17
Type:
Complaint
Address:
9706 4TH AVE NE, SEATTLE, WA, 98125
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN):
27-0937829
In Care Of Name:
% BRADLEY BERG
Ruling Date:
2012-12

Determination Letters

Link:
Download file
Link:
Download file
Link:
Download file

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

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Phone:
(206) 522-1300
Fax:
(206) 528-7306
Add Date:
2004-08-17
Operation Classification:
MOBILE DENTAL CLINIC
power Units:
1
Drivers:
3
Inspections:
0
FMCSA Link:
View on FMCSA website

Court Cases

Filing Date:
1987-07-23
Nature Of Judgment:
Missing
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Antitrust
Parties:
KITSAP PHYSICIANS SERVICE - Plaintiff
WASHINGTON DENTAL SERVICE - Defendant

Trademarks

Serial Number:
78945049
Mark:
PRESHENT
Status:
Registration cancelled because registrant did not file an acceptable d...
Mark Type:
Service Mark
Application Filing Date:
2006-08-04
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PRESHENT
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Administration of preferred provider plans in the field of dental benefits
First Use:
2006-11-30
International Classes:
036 - Primary Class
Class Status:
SECTION 8 - CANCELLED
Serial Number:
77666596
Status:
Abandoned because no Statement of Use or Extension Request timely file...
Mark Type:
Service Mark
Application Filing Date:
2009-02-09
Mark Drawing Type:
2 - AN ILLUSTRATION DRAWING WITHOUT ANY WORDS(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
None
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing health information
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
77666297
Mark:
TEETH GEEK
Status:
Abandoned because no Statement of Use or Extension Request timely file...
Mark Type:
Service Mark
Application Filing Date:
2009-02-09
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
TEETH GEEK
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing health information
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
76389246
Mark:
EXCELLEDENT
Status:
Abandoned because no Statement of Use or Extension Request timely file...
Mark Type:
Trademark
Application Filing Date:
2002-04-01
Mark Drawing Type:
1 - TYPESET WORD(S) /LETTER(S) /NUMBER(S)
Mark Literal Elements:
EXCELLEDENT
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
computer software for use in dental claims processing
International Classes:
009 - Primary Class
Class Status:
ACTIVE

Labor Condition Applications

Case Number:
I-200-15341-485856
Program:
H-1B
Job Title:
APPLICATIONS SYSTEM ANALYST II
SOC (ONET/OES) code:
15-1121
SOC (ONET/OES) occupation title:
COMPUTER SYSTEMS ANALYSTS
Begin Date:
2016-01-01
End Date:
2018-12-31

Employment and Wage Information

Address:
SEATTLE, KING, WA, 98115
Wage Rate Paid to Nonimmigrant Workers:
$90,000
Per:
Year
Prevailing Wage Rate:
$85,176
Case Number:
I-200-12079-885285
Program:
H-1B
Job Title:
SOFTWARE QUALITY ASSURANCE TEST ANALYST
SOC (ONET/OES) code:
15-1799
SOC (ONET/OES) occupation title:
Computer Occupations, All Other*
Begin Date:
2012-04-21
End Date:
2015-04-20

Employment and Wage Information

Address:
SEATTLE, WA
Wage Rate Paid to Nonimmigrant Workers:
$72,178
Per:
Year
Prevailing Wage Rate:
$69,220
Case Number:
I-200-10243-233588
Job Title:
SOFTWARE QA TEST ANALYST
SOC (ONET/OES) code:
15-1099.01
SOC (ONET/OES) occupation title:
Software Quality Assurance Engineers and Testers
Begin Date:
2010-10-20
End Date:
2013-10-20

Employment and Wage Information

Address:
SEATTLE, WA
Wage Rate Paid to Nonimmigrant Workers:
$68,517
Prevailing Wage Rate:
$68,470
Case Number:
I-200-10244-849347
Job Title:
SOFTWARE QA TEST ANALYST
SOC (ONET/OES) code:
15-1099.01
SOC (ONET/OES) occupation title:
Software Quality Assurance Engineers and Testers
Begin Date:
2010-09-29
End Date:
2013-09-29

Employment and Wage Information

Address:
SEATTLE, WA
Wage Rate Paid to Nonimmigrant Workers:
$68,517
Prevailing Wage Rate:
$68,470
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