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ONSITE DENTAL, PLLC

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Company Details

Name: ONSITE DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 449081
Place of Formation: IDAHO
File Number: 449081
ZIP code: 83686
County: Canyon County
Principal Address: 524 E FUJII DR NAMPA, ID 83686
Mailing Address: 524 E FUJII DR NAMPA, ID 83686-6906

Agent

Name Role Address
KEITH STUCKI Agent 524 E FUJII DR, NAMPA, ID 83686

Manager

Name Role Address Appointed On
Keith L Stucki Manager 524 E. FUJII DR, NAMPA, ID 83686 2021-01-04

National Provider Identifier

NPI Number:
1053705178

Authorized Person:

Name:
ROSE MARY MILNER
Role:
VP OF OPERATIONS
Phone:

Taxonomy:

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

Contacts:

Fax:
2083763616

Filing

Filing Name Filing Number Filing date
Annual Report 0006072142 2025-01-15
Annual Report 0005534492 2024-01-03
Annual Report 0005097216 2023-02-06
Annual Report 0004546738 2022-01-03
Annual Report 0004115341 2021-01-04

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State