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MATTHEW G. FETHKE, DDS, P.C.

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Company Details

Name: MATTHEW G. FETHKE, DDS, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Aug 2001 (24 years ago)
Financial Date End: 31 Aug 2021
Date dissolved: 17 Nov 2021
Entity Number: 428480
Place of Formation: IDAHO
File Number: 428480
ZIP code: 83709
County: Ada County
Mailing Address: 12212 W AMITY RD BOISE, ID 83709-5389

Agent

Name Role Address
MATTHEW G FETHKE Agent 12212 W AMITY RD, BOISE, ID 83709

President

Name Role Address Appointed On
Matthew Fethke President 12212 W AMITY, BOISE, ID 83709 2021-02-22

National Provider Identifier

NPI Number:
1841450889

Authorized Person:

Name:
JANET D HEFNER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083433818

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004499908 2021-11-17
Application for Reinstatement 0004178812 2021-02-22
Dissolution/Revocation - Administrative 0004058640 2020-11-05
Annual Report 0003594737 2019-08-13
Annual Report 0002825204 2018-07-16

Paycheck Protection Program

Jobs Reported:
27
Initial Approval Amount:
$115,700
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$116,343.48
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $115,700

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State