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APPLE TREE DENTAL, LLC

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Company Details

Name: APPLE TREE DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Feb 2010 (15 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 280823
Place of Formation: IDAHO
File Number: 280823
ZIP code: 83440
County: Madison County
Principal Address: 33 WINN STE 2 REXBURG, ID 83440
Mailing Address: 33 WINN DR REXBURG, ID 83440-5277

Agent

Name Role Address
MICHAEL A LARSEN Agent 33 WINN DR., REXBURG, ID 83440

Manager

Name Role Address Appointed On Resigned On
Michael A Larsen DDS PLLC Manager 104 STAR VIEW DR, REXBURG, ID 83440 2021-01-04 No data
Radiant Dental LLC Manager 118 S HIDDEN VALLEY RD, REXBURG, ID 83440 2024-01-05 2024-01-05

National Provider Identifier

NPI Number:
1477088086

Authorized Person:

Name:
MICHAEL LARSEN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
271901200
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006092329 2025-02-03
Annual Report 0005543807 2024-01-05
Annual Report 0005052732 2023-01-04
Annual Report 0004568590 2022-01-13
Annual Report 0004115519 2021-01-04

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
54800.00
Total Face Value Of Loan:
54800.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
54800
Current Approval Amount:
54800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
55329.98

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Date of last update: 31 May 2025

Sources: Idaho Secretary of State