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BRYCE D. HANSON, D.M.D., P.A.

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Company Details

Name: BRYCE D. HANSON, D.M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Jan 2002 (24 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 433620
Place of Formation: IDAHO
File Number: 433620
ZIP code: 83274
County: Bingham County
Mailing Address: BRYCE HANSON 371 W FIR ST SHELLEY, ID 83274-1456

Agent

Name Role Address
BRYCE D HANSON Agent 371 W FIR, SHELLEY, ID 83274

President

Name Role Address Appointed On
Bryce d Hanson President 371 W FIR, SHELLEY, ID 83274 2021-12-17
Bryce d Hanson Dr President 371 W FIR, SHELLEY, ID 83274 2020-12-07

Vice President

Name Role Address Appointed On Resigned On
jamie s hanson Vice President 371 W FIR, SHELLEY, ID 83274 2023-12-03 2023-12-03

National Provider Identifier

NPI Number:
1851798045

Authorized Person:

Name:
DR. BRYCE D HANSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083571805

Filing

Filing Name Filing Number Filing date
Annual Report 0006054722 2025-01-07
Annual Report 0005495219 2023-12-03
Annual Report 0005014574 2022-12-06
Annual Report 0004534512 2021-12-17
Annual Report 0004090979 2020-12-07

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
2900.00
Total Face Value Of Loan:
67000.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$64,100
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,559.86
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $67,000

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Date of last update: 04 Sep 2025

Sources: Idaho Secretary of State