| Organization Number | 0473400 |
| Name | SAM W. QUILLEN, JR., D.M.D., P.S.C. |
| Profit or Non-Profit | P - Profit |
| Company Type | KPS - Kentucky Professional Services Corp |
| Status | I - Inactive |
| Standing | B - Bad |
| State | KY |
| File Date | 4/29/1999 |
| Organization Date | 4/29/1999 |
| Last Annual Report | 7/13/2016 |
| Principal Office | 861 SUITE A HIGHWAY 317 NEON, KY 41840 |
| Registered Agent | SAM W. QUILLEN, JR., D.M.D. 861 SUITE A HIGHWAY 317 NEON, KY 41840 |
| Authorized Shares | 100 |