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ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A.

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Company Details

Name: ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Sep 1976 (49 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 173899
Place of Formation: IDAHO
File Number: 173899
ZIP code: 83814
County: Kootenai County
Mailing Address: STAN RASMUSSEN STE 200 1800 LINCOLN WAY COEUR D ALENE, ID 83814-2570

Agent

Name Role Address
EDWARD I. LOWRY Agent 1800 LINCOLN WAY,, 200, STAN RASMUSSEN, COEUR D ALENE, ID 83814

President

Name Role Address Appointed On
Edward I Lowry President 1800 LINCOLN WAY, STE 100, COEUR D ALENE, ID 83814 2020-12-08

National Provider Identifier

NPI Number:
1841201548

Authorized Person:

Name:
DR. STAN RASMUSSEN
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2087651024

Form 5500 Series

Employer Identification Number (EIN):
820328042
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
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
Application for Reinstatement 0006037316 2024-12-28
Dissolution/Revocation - Administrative 0006024473 2024-12-13
Application for Reinstatement 0005557365 2024-01-10
Dissolution/Revocation - Administrative 0005516046 2023-12-16
Annual Report 0004970582 2022-11-03

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$88,062.5
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$88,062.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$89,215.76
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $88,062.5

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Date of last update: 01 Aug 2025

Sources: Idaho Secretary of State