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PLATINUM DENTAL PLLC

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Company Details

Name: PLATINUM DENTAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Aug 2011 (14 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 326543
Place of Formation: IDAHO
File Number: 326543
ZIP code: 83607
County: Canyon County
Principal Address: 24239 EL PASO RD CALDWELL, ID 83607
Mailing Address: RICH 688 POLE LINE RD # 8 TWIN FALLS, ID 83301-3034

Agent

Name Role Address
RICHARD DAVIS Agent 688 POLE LINE RD # 8, RICH, TWIN FALLS, ID 83301-3034

Member

Name Role Address Appointed On
Richard Davis Member 688 POLE LINE RD # 8, TWIN FALLS, ID 83301-3034 2021-01-14

National Provider Identifier

NPI Number:
1760762868

Authorized Person:

Name:
DR. RICHARD RYAN DAVIS
Role:
OWNER/ DENTIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005796302 2024-07-03
Annual Report 0005298885 2023-07-03
Change of Registered Office/Agent/Both (by Entity) 0004850207 2022-08-05
Annual Report 0004801082 2022-07-03
Statement of Change of Business Mailing Address 0004459201 2021-10-23

USAspending Awards / Financial Assistance

Date:
2021-02-05
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:
62827.00
Total Face Value Of Loan:
62827.00
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:
77200.00
Total Face Value Of Loan:
77200.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
77200
Current Approval Amount:
77200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
77885.28
Date Approved:
2021-02-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
62827
Current Approval Amount:
62827
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
63358.88

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State