Search icon

SCOTT M. BLAKE, D.D.S., P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: SCOTT M. BLAKE, D.D.S., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 May 2003 (22 years ago)
Financial Date End: 31 May 2026
Entity Number: 454065
Place of Formation: IDAHO
File Number: 454065
ZIP code: 83401
County: Bonneville County
Mailing Address: 333 S WOODRUFF AVE IDAHO FALLS, ID 83401-4322

Agent

Name Role Address
SCOTT M BLAKE DDS Agent 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401

President

Name Role Address Appointed On
Scott M Blake President 333 S. WOODRUFF AVE, IDAHO FALLS, ID 83401 2021-06-24

Secretary

Name Role Address Appointed On Resigned On
Elisabeth L Blake Secretary 333 S. WOODRUFF AVE, IDAHO FALLS, ID 83401 2024-05-07 2024-05-07

National Provider Identifier

NPI Number:
1972779916

Authorized Person:

Name:
ELAINE SCHMIDT
Role:
RECEPTIONIST
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
731669223
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
9
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006187531 2025-04-03
Annual Report 0005728640 2024-05-07
Annual Report 0005212838 2023-04-27
Annual Report 0004687989 2022-04-05
Annual Report 0004324003 2021-06-24

USAspending Awards / Financial Assistance

Date:
2021-01-28
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:
59876.00
Total Face Value Of Loan:
59876.00

Paycheck Protection Program

Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
59876
Current Approval Amount:
59876
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
60423.91

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State