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KELLEY FAMILY DENTISTRY, PLLC

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Company Details

Name: KELLEY FAMILY DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Oct 2004 (21 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 114415
Place of Formation: IDAHO
File Number: 114415
ZIP code: 83263
County: Franklin County
Principal Address: 713 S 4TH E 100 PRESTON, ID 83263
Mailing Address: 713 S 4TH E # 100 PRESTON, ID 83263-1900

Agent

Name Role Address
DARRON H KELLEY Agent 713 S 400 E STE 100, PRESTON, ID 83263

Member

Name Role Address Appointed On
BRADLEY KELLEY DMD PLLC Member 713 S 400 E STE 100, PRESTON, ID 83263 2023-09-03
DARRON H KELLEY DDS PC Member 713 S 4TH E, PRESTON, ID 83263 2023-09-03

National Provider Identifier

NPI Number:
1457523805

Authorized Person:

Name:
DR. DARRON HARRIS KELLEY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005877599 2024-09-03
Annual Report 0005379597 2023-09-03
Annual Report 0003619139 2019-09-10
Amendment to Certificate 0003497340 2019-04-29
Change of Registered Office/Agent/Both (by Entity) 0003497348 2019-04-29

USAspending Awards / Financial Assistance

Date:
2021-01-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
131750.00
Total Face Value Of Loan:
131750.00
Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
134358.30
Total Face Value Of Loan:
134358.30
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
134358.30
Total Face Value Of Loan:
0.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
134358.30
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
125562.84
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
134358.3
Current Approval Amount:
134358.3
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
135272.68
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
131750
Current Approval Amount:
131750
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
132423.39

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Date of last update: 27 May 2025

Sources: Idaho Secretary of State