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DALLCO ORTHOPAEDICS & SPORTS MEDICINE, PLLC

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Company Details

Name: DALLCO ORTHOPAEDICS & SPORTS MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Nov 2013 (12 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 402063
Place of Formation: IDAHO
File Number: 402063
ZIP code: 83404
County: Bonneville County
Principal Address: 3300 WASHINGTON PARKWAY IDAHO FALLS, ID 83404
Mailing Address: 3300 WASHINGTON PKWY IDAHO FALLS, ID 83404-7592

Agent

Name Role Address
Jason G Dalling Agent 3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Jason G. Dalling Manager 3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404 2020-10-05

National Provider Identifier

NPI Number:
1578955621
Certification Date:
2023-10-12

Authorized Person:

Name:
DR. JASON GLENN DALLING
Role:
ATTENDING ORTHOPEDIC SURGEON
Phone:

Taxonomy:

Selected Taxonomy:
207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2085220880

Filing

Filing Name Filing Number Filing date
Annual Report 0005966583 2024-11-05
Annual Report 0005448119 2023-10-24
Annual Report 0004952282 2022-10-13
Annual Report 0004439935 2021-10-06
Annual Report Amendment 0004350873 2021-07-15

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:
46700.00
Total Face Value Of Loan:
46700.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$46,700
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,113.26
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $46,700

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State