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KYLE JAMES SIEMEN, D.M.D., P.A.

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Company Details

Name: KYLE JAMES SIEMEN, D.M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Nov 1978 (47 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 190180
Place of Formation: IDAHO
File Number: 190180
ZIP code: 83201
County: Bannock County
Mailing Address: STE W 333 W CEDAR ST POCATELLO, ID 83201-5045

President

Name Role Address Appointed On
Kyle James Siemen President 333 W CEDAR ST, POCATELLO, ID 83201-5045 2021-10-04
Kyle James Siemen DMD President 333 W CEDAR ST, POCATELLO, ID 83201-5045 2020-10-05

Agent

Name Role Address
KYLE JAMES SIEMEN DMD PA Agent 333 W CEDAR, POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1285044529

Authorized Person:

Name:
DR. KYLE JAMES SIEMEN
Role:
DENTIST/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2082336921

Filing

Filing Name Filing Number Filing date
Annual Report 0005921228 2024-10-03
Annual Report 0005417977 2023-10-03
Annual Report 0004930899 2022-10-03
Annual Report 0004435712 2021-10-04
Annual Report 0004022982 2020-10-05

USAspending Awards / Financial Assistance

Date:
2020-06-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
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:
-18600.00
Total Face Value Of Loan:
86200.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
86200
Current Approval Amount:
86200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
86748.29

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Date of last update: 25 Jun 2025

Sources: Idaho Secretary of State