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EXCELLENCE IN DENTISTRY PA

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Company Details

Name: EXCELLENCE IN DENTISTRY PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 20 Jan 1998 (28 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 375748
Place of Formation: IDAHO
File Number: 375748
ZIP code: 83404
County: Bonneville County
Mailing Address: 2515 CHANNING WAY IDAHO FALLS, ID 83404-7516

Agent

Name Role Address
CURTIS J GODFREY DDS Agent 2515 CHANNING WAY, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
Curtis J Godfrey President 2515 CHANNING WAY, IDAHO FALLS, ID 83404 2021-02-05

National Provider Identifier

NPI Number:
1881602266

Authorized Person:

Name:
DR. DUANE KENT GODFREY
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2085298609

Filing

Filing Name Filing Number Filing date
Annual Report 0006031766 2024-12-19
Annual Report 0005534949 2024-01-03
Annual Report 0005110204 2023-02-10
Annual Report 0004610266 2022-02-14
Annual Report 0004166833 2021-02-05

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
65200.00
Total Face Value Of Loan:
65200.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$65,200
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$65,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,953.82
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $65,200

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Date of last update: 06 Aug 2025

Sources: Idaho Secretary of State