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BLACKFOOT FAMILY DENTISTRY, PLLC

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Company Details

Name: BLACKFOOT FAMILY DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Jan 2015 (10 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 447548
Place of Formation: IDAHO
File Number: 447548
Principal Address: PO BOX 51330 IDAHO FALLS, ID 83405
Mailing Address: PO BOX 51330 IDAHO FALLS, ID 83405-1330

Agent

Name Role Address
CADE BALDWIN Agent 790 N MERIDIAN ST, BLACKFOOT, ID 83221

Member

Name Role Address Appointed On
CADE BALDWIN Member 7538 S BLACKHAWK DR, IDAHO FALLS, ID 83406 2021-01-05

National Provider Identifier

NPI Number:
1578958252

Authorized Person:

Name:
DR. CADE G BALDWIN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2087855362

Filing

Filing Name Filing Number Filing date
Annual Report 0006028574 2024-12-17
Annual Report 0005530694 2023-12-29
Annual Report 0005029652 2022-12-14
Annual Report 0004531842 2021-12-15
Annual Report 0004119073 2021-01-05

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$47,262
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,262
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$47,488.6
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $47,262
Jobs Reported:
11
Initial Approval Amount:
$47,200
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$47,567.25
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $35,400
Utilities: $5,900
Mortgage Interest: $5,900

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State