Search icon

KOOTENAI DENTAL GROUP, INC.

Company claim

Is this your business?

Get access!

Company Details

Name: KOOTENAI DENTAL GROUP, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Sep 2000 (25 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 413556
Place of Formation: IDAHO
File Number: 413556
ZIP code: 83815
County: Kootenai County
Mailing Address: 555 W CANFIELD AVE COEUR D ALENE, ID 83815-7892

Agent

Name Role Address
DELWYN L DICK Agent 555 W CANFIELD AVE, COEUR D'ALENE, ID 83815

President

Name Role Address Appointed On
Delwyn Dick President 555 W. CANFIELD AVE., COEUR D ALENE, ID 83815-7892 2020-08-10

National Provider Identifier

NPI Number:
1265532261

Authorized Person:

Name:
DR. DELWYN LEE DICK
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2087622530

Filing

Filing Name Filing Number Filing date
Annual Report 0005896658 2024-09-10
Annual Report 0005430814 2023-10-04
Application for Reinstatement 0005203329 2023-04-17
Dissolution/Revocation - Administrative 0005024519 2022-12-09
Annual Report 0004366261 2021-08-03

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:
155500.00
Total Face Value Of Loan:
155500.00

Paycheck Protection Program

Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
155500
Current Approval Amount:
155500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
156722.4

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State