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ADACARE DENTAL & DENTURES, PLLC

Company Details

Name: ADACARE DENTAL & DENTURES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Dec 2014 (11 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 441289
Place of Formation: IDAHO
File Number: 441289
ZIP code: 83402
County: Bonneville County
Principal Address: 428 PARK AVE IDAHO FALLS, ID 83402
Mailing Address: 428 PARK AVE IDAHO FALLS, ID 83402-3609

Agent

Name Role Address
LARY S LARSON Agent 428 PARK AVE, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Carl L. Larson Manager 3909 E. FAIRVIEW AVE., MERIDIAN, ID 83642 2020-11-12

National Provider Identifier

NPI Number:
1316687437
Certification Date:
2022-03-28

Authorized Person:

Name:
DR. CARL LARSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2089967208

Filing

Filing Name Filing Number Filing date
Annual Report 0005994489 2024-11-26
Annual Report 0005504696 2023-12-07
Annual Report 0005034007 2022-12-19
Annual Report 0004525095 2021-12-10
Annual Report 0004066668 2020-11-12

USAspending Awards / Financial Assistance

Date:
2020-04-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
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:
58100.00
Total Face Value Of Loan:
58100.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
58100
Current Approval Amount:
58100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
58459.99

Date of last update: 11 May 2025

Sources: Idaho Secretary of State