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IDAHO FALLS SMILES, PLLC

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Company Details

Name: IDAHO FALLS SMILES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Feb 2013 (12 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 374329
Place of Formation: IDAHO
File Number: 374329
ZIP code: 83404
County: Bonneville County
Principal Address: 3375 MERLIN DR IDAHO FALLS, ID 83404
Mailing Address: 3375 MERLIN DR IDAHO FALLS, ID 83404-7405

Agent

Name Role Address
Justin G Frandsen Agent 3375 MERLIN DR, IDAHO FALLS, ID 83404

Member

Name Role Address Appointed On
Justin G Frandsen Member 3375 MERLIN DRIVE, IDAHO FALLS, ID 83404 2023-02-03

Manager

Name Role Address Appointed On Resigned On
David M Heninger Manager 3375 MERLIN DRIVE, IDAHO FALLS, ID 83404 2021-03-04 2023-02-03

National Provider Identifier

NPI Number:
1649610726

Authorized Person:

Name:
DR. DAVID M HENINGER
Role:
PRESIDENT/PART-OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085241702

Filing

Filing Name Filing Number Filing date
Annual Report 0006104725 2025-02-10
Annual Report 0005542843 2024-01-04
Annual Report 0005094308 2023-02-03
Annual Report 0004547974 2022-01-03
Annual Report 0004196006 2021-03-04

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
133900.00
Total Face Value Of Loan:
133900.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
133900
Current Approval Amount:
133900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
134879.49

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State