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Boise Bench Dentistry, P.C.

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Company Details

Name: Boise Bench Dentistry, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Aug 1995 (30 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 344491
Place of Formation: IDAHO
File Number: 344491
ZIP code: 83704
County: Ada County
Mailing Address: STE B 7235 W EMERALD ST BOISE, ID 83704-8600

Agent

Name Role Address
JILL SHELTON WAGERS Agent 7235 EMERALD STE B, BOISE, ID 83704

President

Name Role Address Appointed On
Jill S Wagers President 7235 W EMERALD ST, BOISE, ID 83704-8600 2020-07-15

National Provider Identifier

NPI Number:
1770770026
Certification Date:
2021-06-02

Authorized Person:

Name:
MRS. JILL SHELTON WAGERS
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2083760468

Filing

Filing Name Filing Number Filing date
Annual Report 0006344491 2025-07-08
Annual Report 0005822209 2024-07-16
Annual Report 0005398104 2023-09-11
Annual Report 0004838965 2022-08-03
Annual Report 0004335524 2021-07-06

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$147,935
Date Approved:
2021-02-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$147,935
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$148,904.8
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $147,932
Utilities: $1
Jobs Reported:
11
Initial Approval Amount:
$145,987
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$145,987
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$147,365.77
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $145,987

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Date of last update: 05 Aug 2025

Sources: Idaho Secretary of State