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DAVIDSON FAMILY DENTAL PLLC

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Company Details

Name: DAVIDSON FAMILY DENTAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 03 Nov 2014 (11 years ago)
Financial Date End: 30 Nov 2022
Date dissolved: 08 Feb 2023
Entity Number: 438437
Place of Formation: IDAHO
File Number: 438437
ZIP code: 83815
County: Kootenai County
Principal Address: 509 W HANLEY AVE STE 201 COEUR D ALENE, ID 83815
Mailing Address: STE 201 509 W HANLEY AVE COEUR D ALENE, ID 83815-8994

Agent

Name Role Address
KIRK DAVIDSON Agent 509 W HANLEY AVE STE 201, COEUR D ALENE, ID 83815

Manager

Name Role Address Appointed On
Kitk D Davidson Manager 509 W HANLEY AVENUE, SUITE 201, COEUR D'ALENE, ID 83815 2020-12-02

National Provider Identifier

NPI Number:
1922404987

Authorized Person:

Name:
KIRK MICHAEL DAVIDSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086668918

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005101685 2023-02-08
Annual Report 0004474403 2021-11-01
Annual Report 0004081660 2020-12-02
Annual Report 0003636370 2019-10-02
Annual Report 0003328425 2018-10-16

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
72500.00
Total Face Value Of Loan:
72500.00
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:
72900.00
Total Face Value Of Loan:
72900.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
72900
Current Approval Amount:
72900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
73321.42
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
72500
Current Approval Amount:
72500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
72903.22

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State