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Yellowstone Dental Associates, PLLC

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Company Details

Name: Yellowstone Dental Associates, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Jan 2020 (5 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 3752020
Place of Formation: IDAHO
File Number: 695941
ZIP code: 83201
County: Bannock County
Principal Address: 115 E CHAPEL RD POCATELLO, ID 83201
Mailing Address: 115 E CHAPEL RD POCATELLO, ID 83201-3540

Agent

Name Role Address
BRADLEY SUTTON Agent 115 E CHAPEL RD, POCATELLO, ID 83201

Member

Name Role Address Appointed On Resigned On
Sutton Family Dentistry LLC Member 115 E CHAPEL ROAD, POCATELLO, ID 83201 2021-01-07 No data
Corbin Stringfellow DMD PC Member 3088 TREVOR STREET, POCATELLO, ID 83201 2023-12-20 2023-12-20
Four Season Dental PC Member 115 E CHAPEL, POCATELLO, ID 83201 2023-12-20 2023-12-20

National Provider Identifier

NPI Number:
1588293146
Certification Date:
2020-04-06

Authorized Person:

Name:
TAYLOR ASHCRAFT
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
844394880
Plan Year:
2023
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006020495 2024-12-11
Annual Report 0005523170 2023-12-20
Annual Report 0005044764 2023-01-03
Annual Report 0004512229 2021-12-03
Annual Report 0004121289 2021-01-07

USAspending Awards / Financial Assistance

Date:
2020-05-18
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:
-47.30
Total Face Value Of Loan:
79600.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
79647.3
Current Approval Amount:
79600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
80221.53

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State