0001693470-18-000001.txt : 20180129 0001693470-18-000001.hdr.sgml : 20180129 20180129171429 ACCESSION NUMBER: 0001693470-18-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180129 DATE AS OF CHANGE: 20180129 EFFECTIVENESS DATE: 20180129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dental Innovation Inc. CENTRAL INDEX KEY: 0001693470 IRS NUMBER: 814650225 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-277528 FILM NUMBER: 18556693 BUSINESS ADDRESS: STREET 1: 6166 N QUEENSBURY PL CITY: BOISE STATE: ID ZIP: 83713 BUSINESS PHONE: 208-602-9090 MAIL ADDRESS: STREET 1: 6166 N QUEENSBURY PL CITY: BOISE STATE: ID ZIP: 83713 FORMER COMPANY: FORMER CONFORMED NAME: Dental Innovations Inc. DATE OF NAME CHANGE: 20161229 D/A 1 primary_doc.xml X0708 D/A LIVE 0001693470 Dental Innovation Inc. 6166 N QUEENSBURY PL BOISE ID IDAHO 83713 208-602-9090 IDAHO Dental Innovations Inc. Corporation true 2016 Michael Boerner 6166 N QUEENSBURY PL Boise ID IDAHO 83713 Executive Officer Director Other Technology $1 - $1,000,000 06b true 0001693470-17-000001 2016-12-19 false true false 25000 500000 350000 150000 false 11 0 0 100000 true false Dental Innovation Inc. Michael Boerner Michael Boerner President 2018-01-29