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WEST VALLEY ENDODONTICS LLC

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Company Details

Name: WEST VALLEY ENDODONTICS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Jun 2014 (11 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 425010
Place of Formation: IDAHO
File Number: 425010
ZIP code: 83687
County: Canyon County
Principal Address: 1217 JACOB ALCOTT WAY NAMPA, ID 83687
Mailing Address: 1217 N JACOB ALCOTT WAY NAMPA, ID 83687-5198

Agent

Name Role Address
ROBERT C MONTGOMERY CHTD Agent 2160 S TWIN RAPID, BOISE, ID 83709

Member

Name Role Address Appointed On Resigned On
Bruce E Newcomb Member 3875 HOLL DR, EAGLE, ID 83616 2020-07-15 No data
Brent L Chapman Member 11344 W GREYLING CT., BOISE, ID 83709 2024-07-03 2024-07-03
Adam Shipp Member 3453 W WIND ST, EAGLE, ID 83616 2024-07-03 2024-07-03
Hilary I Dunstan Member 1908 N 17TH ST., BOISE, ID 83702 2024-07-03 2024-07-03
Ryan Shipp Member 1851 W WOODVALLEY ST., EAGLE, ID 83616 2024-07-03 2024-07-03

National Provider Identifier

NPI Number:
1952055840
Certification Date:
2022-02-09

Authorized Person:

Name:
MICHELLE HYMAS
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

Fax:
2083231990

Filing

Filing Name Filing Number Filing date
Annual Report 0006247698 2025-05-09
Annual Report 0005795402 2024-07-03
Dissolution/Revocation - Administrative 0005387497 2023-09-07
Application for Reinstatement 0005388890 2023-09-07
Annual Report 0004724040 2022-05-03

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
8683.99
Total Face Value Of Loan:
8683.99
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
8683.99
Current Approval Amount:
8683.99
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
8735.91

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State