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SCOTT R. GARDNER,DDS,P.C.

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Company Details

Name: SCOTT R. GARDNER,DDS,P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Dec 2001 (24 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 431689
Place of Formation: IDAHO
File Number: 431689
ZIP code: 83686
County: Canyon County
Mailing Address: 2065 12TH AVE RD NAMPA, ID 83686-6311

Agent

Name Role Address
SCOTT R GARDNER Agent 411 E ROCKLAN CT, NAMPA, ID 83686

President

Name Role Address Appointed On
scott gardner President 411 E ROCKLAN CT, NAMPA, ID 83686 2020-11-04

Secretary

Name Role Address Appointed On
Andrea Gardner Secretary 411 E ROCKLAN CT, NAMPA, ID 83686 2023-11-05

National Provider Identifier

NPI Number:
1114187598

Authorized Person:

Name:
SCOTT ROBERT GARDNER
Role:
DETIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
820537509
Plan Year:
2011
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005958244 2024-11-03
Annual Report 0005463744 2023-11-05
Annual Report 0005003302 2022-11-29
Annual Report 0004490552 2021-11-06
Annual Report 0004053397 2020-11-04

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$71,927
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$71,927
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$72,610.8
Servicing Lender:
Banner Bank
Use of Proceeds:
Payroll: $61,137.95
Utilities: $3,596.35
Rent: $7,192.7

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State