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CARE CREEK DENTAL LLC

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Company Details

Name: CARE CREEK DENTAL LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Oct 2008 (17 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 245135
Place of Formation: IDAHO
File Number: 245135
ZIP code: 83201
County: Bannock County
Principal Address: 1169 CALL CREEK DR STE A POCATELLO, ID 83201
Mailing Address: STE A 1169 CALL CREEK DR POCATELLO, ID 83201-3077

Agent

Name Role Address
PAUL A GAGNON Agent 2717 CLEARWATER, POCATELLO, ID 83201

Manager

Name Role Address Appointed On Resigned On
Carolee C Gagnon Manager 2717 CLEARWATER, POCATELLO, ID 83201 2020-09-11 2021-09-14
CAROLEE C GAGNON Manager 2717 CLEARWATER ST., POCATELLO, ID 83201 2024-10-02 No data

National Provider Identifier

NPI Number:
1326281163

Authorized Person:

Name:
DR. PAUL A. GAGNON
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005917671 2024-10-02
Application for Reinstatement 0005443115 2023-10-17
Dissolution/Revocation - Administrative 0005062309 2023-01-12
Annual Report 0004418444 2021-09-14
Annual Report 0004002261 2020-09-11

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
-100.00
Total Face Value Of Loan:
37100.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$37,200
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$37,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$37,366.31
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $37,100

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State