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BRADFORD B. FISHER DENTISTRY, PLLC

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Company Details

Name: BRADFORD B. FISHER DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Jun 2013 (12 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 386788
Place of Formation: IDAHO
File Number: 386788
ZIP code: 83651
County: Canyon County
Principal Address: 207 7TH AVE S NAMPA, ID 83651
Mailing Address: 207 7TH AVE S NAMPA, ID 83651-3846

Agent

Name Role Address
Jason Hammer Agent 624 3RD STREET SOUTH, NAMPA, ID 83651

Member

Name Role Address Appointed On
Bradford Fisher Member 207 7TH AVE SOUTH, NAMPA, ID 83651 2021-05-10

Manager

Name Role Address Appointed On Resigned On
Kim Keller Manager 624 3RD ST S, NAMPA, ID 83651 2024-05-07 2024-05-07

National Provider Identifier

NPI Number:
1891122776

Authorized Person:

Name:
DR. BRADFORD B FISHER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2084669853

Filing

Filing Name Filing Number Filing date
Annual Report 0006232350 2025-05-04
Change of Registered Office/Agent/Both (by Entity) 0005750982 2024-05-30
Annual Report 0005728798 2024-05-07
Annual Report 0005235038 2023-05-09
Annual Report 0004762665 2022-06-01

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
9000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
93725.00
Total Face Value Of Loan:
93725.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93725
Current Approval Amount:
93725
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
94762.39

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State