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MERIDIAN PEDIATRIC DENTISTRY PLLC

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Company Details

Name: MERIDIAN PEDIATRIC DENTISTRY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 12 Aug 2004 (21 years ago)
Financial Date End: 31 Aug 2022
Date dissolved: 05 Nov 2022
Entity Number: 110481
Place of Formation: IDAHO
File Number: 110481
ZIP code: 83646
County: Ada County
Principal Address: 1550 E HERITAGE PARK ST STE 150 MERIDIAN, ID 83646
Mailing Address: STE 150 1550 E HERITAGE PARK ST MERIDIAN, ID 83646-6440

Agent

Name Role Address
TOBY MERRIMAN Agent 1550 E HERITAGE PARK ST, STE 150, MERIDIAN, ID 83646

Member

Name Role Address Appointed On
Toby Merriman Member 1550 E HERITAGE PARK ST, MERIDIAN, ID 83646-6440 2020-07-04

National Provider Identifier

NPI Number:
1811156722

Authorized Person:

Name:
TOBY MERRIMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
2082882579

Form 5500 Series

Employer Identification Number (EIN):
201414365
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004977083 2022-11-05
Annual Report 0004349719 2021-07-14
Annual Report 0003929955 2020-07-04
Annual Report 0003570384 2019-07-15
Annual Report 0001338615 2018-08-14

USAspending Awards / Financial Assistance

Date:
2020-04-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 24 Jun 2025

Sources: Idaho Secretary of State