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NORTH END DENTAL PLLC

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Company Details

Name: NORTH END DENTAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Nov 2009 (16 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 274053
Place of Formation: IDAHO
File Number: 274053
ZIP code: 83702
County: Ada County
Principal Address: 704 N 17TH ST BOISE, ID 83702
Mailing Address: 704 N 17TH ST BOISE, ID 83702-3905

Manager

Name Role Address Appointed On Resigned On
Andrew B Chrisman Manager 1920 N. 18TH ST., BOISE, ID 83702 2020-11-03 No data
Alice M Zeigler Manager 1042 W. PARKHILL DRIVE, BOISE, ID 83702 2023-10-03 2023-10-03

Agent

Name Role Address
ALICE ZEIGLER Agent 704 N 17TH ST, BOISE, ID 83702

National Provider Identifier

NPI Number:
1902916018

Authorized Person:

Name:
MRS. DOROTHY ANN MATTEFS
Role:
OFF MGR
Phone:

Taxonomy:

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

Contacts:

Fax:
2083883990

Filing

Filing Name Filing Number Filing date
Annual Report 0005935782 2024-10-10
Annual Report 0005420844 2023-10-03
Annual Report 0004934996 2022-10-04
Annual Report 0004479081 2021-11-03
Annual Report 0004049474 2020-11-03

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
133265
Current Approval Amount:
133265
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
134382.24
Date Approved:
2021-01-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
130096.97
Current Approval Amount:
130096.97
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
130670.82

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State