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ANDREW STODDARD DENTAL SERVICES, PLLC

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Company Details

Name: ANDREW STODDARD DENTAL SERVICES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 May 2012 (13 years ago)
Financial Date End: 31 May 2026
Entity Number: 351741
Place of Formation: IDAHO
File Number: 351741
ZIP code: 83201
County: Bannock County
Principal Address: 1525 BALDY AVE POCATELLO, ID 83201
Mailing Address: DAVID STODDARD PO BOX 51330 IDAHO FALLS, ID 83405-1330

Agent

Name Role Address
James D Stoddard Agent 1000 RIVERWALK DR, STE 100, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On Resigned On
ANDREW STODDARD Manager 1525 BALDY AVE, POCATELLO, ID 83201 2021-04-03 2024-05-06
James David Stoddard Manager PO BOX 51330, IDAHO FALLS, ID 83405 2024-05-06 No data

National Provider Identifier

NPI Number:
1346501657

Authorized Person:

Name:
ANDREW STODDARD
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006199633 2025-04-08
Annual Report 0005724282 2024-05-06
Annual Report 0005241365 2023-05-12
Annual Report 0004682073 2022-04-03
Annual Report 0004226440 2021-04-03

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
42500.00
Total Face Value Of Loan:
42500.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42500
Current Approval Amount:
42500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
34160.68

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State