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OWYHEE ORAL SURGERY LLC

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Company Details

Name: OWYHEE ORAL SURGERY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Dec 2014 (10 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 442751
Place of Formation: IDAHO
File Number: 442751
ZIP code: 83686
County: Canyon County
Principal Address: 1613 12TH AVE RD UNIT A NAMPA, ID 83686
Mailing Address: 339 W IOWA AVE NAMPA, ID 83686-2856

Agent

Name Role Address
JOHN PAUL MALAN Agent 339 W IOWA AVE, NAMPA, ID 83686

Manager

Name Role Address Appointed On
John Malan Manager 339 W IOWA AVE, NAMPA, ID 83686 2020-12-29

National Provider Identifier

NPI Number:
1114304250
Certification Date:
2024-08-19

Authorized Person:

Name:
JOHN P MALAN
Role:
DR
Phone:

Taxonomy:

Selected Taxonomy:
261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
472585548
Plan Year:
2023
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006069241 2025-01-13
Annual Report 0005528344 2023-12-27
Annual Report 0005012980 2022-12-05
Annual Report 0004556641 2022-01-06
Annual Report 0004109908 2020-12-29

USAspending Awards / Financial Assistance

Date:
2020-05-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
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:
72045.00
Total Face Value Of Loan:
72045.00
Date:
2015-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
148000.00
Total Face Value Of Loan:
978000.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
72045
Current Approval Amount:
72045
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
72781.24

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State