Search icon

J. CLAYTON HANSEN, D.D.S. PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: J. CLAYTON HANSEN, D.D.S. PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Feb 2005 (20 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 122721
Place of Formation: IDAHO
File Number: 122721
ZIP code: 83843
County: Latah County
Principal Address: 1526 LEVICK ST MOSCOW, ID 83843
Mailing Address: 751 VICTORIA DRIVE MOSCOW, ID 83843-2560

Agent

Name Role Address
WYNN MOSMAN ATTY Agent 803 S JEFFERSON STE 4, MOSCOW, ID 83843

Member

Name Role Address Appointed On
Jay C Hansen Member 751 VICTORIA DR, MOSCOW, ID 83843 2021-02-09

National Provider Identifier

NPI Number:
1558458281

Authorized Person:

Name:
JAY CLAYTON HANSEN
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2088828418

Form 5500 Series

Employer Identification Number (EIN):
202279421
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006106880 2025-02-12
Annual Report 0005559307 2024-01-11
Annual Report 0005105776 2023-02-09
Annual Report 0004579551 2022-01-24
Annual Report 0004169871 2021-02-09

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$95,571
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$95,571
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$95,916.63
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $95,571
Jobs Reported:
9
Initial Approval Amount:
$79,700
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$79,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$80,173.83
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $79,700

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State