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BLUESKY DENTAL, LLC

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Company Details

Name: BLUESKY DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Jan 2009 (16 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 252404
Place of Formation: IDAHO
File Number: 252404
ZIP code: 83843
County: Latah County
Principal Address: 2500 W. A STREET SUITE 204 MOSCOW, ID 83843
Mailing Address: STE 204 2500 W A ST MOSCOW, ID 83843-6000

Agent

Name Role Address
KEVIN C HENRY DDS Agent 2500 W. A STREET SUITE 204, MOSCOW, ID 83843

Manager

Name Role Address Appointed On
kevin henry Manager 2500 W. A ST. SUITE 204, MOSCOW, ID 83843 2023-12-04

National Provider Identifier

NPI Number:
1073808333

Authorized Person:

Name:
DR. KEVIN C HENRY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088823279

Form 5500 Series

Employer Identification Number (EIN):
263983850
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006049557 2025-01-06
Annual Report 0005499388 2023-12-04
Application for Reinstatement 0005332078 2023-07-26
Dissolution/Revocation - Administrative 0004239732 2021-04-08
Application for Reinstatement 0003846856 2020-04-16

USAspending Awards / Financial Assistance

Date:
2021-02-02
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:
82290.00
Total Face Value Of Loan:
82290.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
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:
83300.00
Total Face Value Of Loan:
83300.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
83300
Current Approval Amount:
83300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
84018.89
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
82290
Current Approval Amount:
82290
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
82686.8

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State