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ANDREA S RADABAUGH, DDS, PLLC

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Company Details

Name: ANDREA S RADABAUGH, DDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 May 2011 (14 years ago)
Financial Date End: 31 May 2026
Entity Number: 319067
Place of Formation: IDAHO
File Number: 319067
ZIP code: 83523
County: Lewis County
Principal Address: PO BOX 218 CRAIGMONT, ID 83523
Mailing Address: PO BOX 218 CRAIGMONT, ID 83523-0218

Agent

Name Role Address
ANDREA S RADABAUGH DDS Agent 420 N DIVISION, CRAIGMONT, ID 83523

Manager

Name Role Address Appointed On
Andrea Radabaugh Manager 2399 SENTER ROAD, CRAIGMONT, ID 83523 2021-05-03

National Provider Identifier

NPI Number:
1811281397

Authorized Person:

Name:
DR. ANDREA S RADABAUGH
Role:
OWNER DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006187519 2025-04-03
Annual Report 0005724867 2024-05-06
Annual Report 0005185210 2023-04-07
Annual Report 0004684390 2022-04-04
Annual Report 0004262446 2021-05-03

USAspending Awards / Financial Assistance

Date:
2021-05-18
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:
14600.00
Total Face Value Of Loan:
14600.00
Date:
2021-02-13
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:
14600.00
Total Face Value Of Loan:
14600.00

Paycheck Protection Program

Date Approved:
2021-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14600
Current Approval Amount:
14600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
14635.69
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14600
Current Approval Amount:
14600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
14647.04

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State