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Mark R Olsen DDS PLLC

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Company Details

Name: Mark R Olsen DDS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Jul 2019 (6 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 3559350
Place of Formation: IDAHO
File Number: 672303
ZIP code: 83669
County: Ada County
Principal Address: 12190 W EVELY PINES LN STAR, ID 83669
Mailing Address: 3605 W LADLE RAPIDS ST MERIDIAN, ID 83646-7011

Agent

Name Role Address
Mark Olsen Agent 10034 JORDAN LEE ST, NAMPA, ID 83687

Manager

Name Role Address Appointed On
Mark Olsen Manager 12190 W EVELY PINES, STAR, ID 83669 2020-08-11

National Provider Identifier

NPI Number:
1215712666
Certification Date:
2023-08-24

Authorized Person:

Name:
DR. MARK OLSEN
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005757283 2024-06-03
Change of Registered Office/Agent/Both (by Entity) 0005559093 2024-01-11
Annual Report 0005360189 2023-08-10
Statement of Change of Business Mailing Address 0005084053 2023-01-28
Annual Report 0004767249 2022-06-03

USAspending Awards / Financial Assistance

Date:
2021-02-04
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:
15000.00
Total Face Value Of Loan:
15000.00

Paycheck Protection Program

Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
15000
Current Approval Amount:
15000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
15186.16

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State