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AVONDALE DENTAL CENTER LLC

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Company Details

Name: AVONDALE DENTAL CENTER LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Sep 2008 (17 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 242383
Place of Formation: IDAHO
File Number: 242383
ZIP code: 83835
County: Kootenai County
Principal Address: 1683 E MILES AVE HAYDEN, ID 83835
Mailing Address: 1015 W IRONWOOD DR COEUR D ALENE COEUR D'ALENE, ID 83814

Agent

Name Role Address
KORY J WILSON DDS Agent 1683 E MILES AVE, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
Kory Wilson Manager 1683 E MILES AVE, HAYDEN, ID 83835 2020-08-03

National Provider Identifier

NPI Number:
1558887067

Authorized Person:

Name:
MR. JAMES ROBSON
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2089304085

Form 5500 Series

Employer Identification Number (EIN):
263429569
Plan Year:
2023
Number Of Participants:
95
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
85
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
57
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
45
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005840384 2024-08-05
Annual Report 0005345877 2023-08-03
Annual Report 0004845294 2022-08-04
Annual Report 0004367379 2021-08-03
Annual Report 0003953400 2020-08-03

USAspending Awards / Financial Assistance

Date:
2020-05-21
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:
2020-04-07
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:
454802.00
Total Face Value Of Loan:
454802.00

Paycheck Protection Program

Jobs Reported:
36
Initial Approval Amount:
$454,802
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$454,802
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$458,876.53
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $454,802

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State