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SIGNATURE DENTAL, PC

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Company Details

Name: SIGNATURE DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 04 Aug 2003 (22 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 22 May 2024
Entity Number: 457245
Place of Formation: IDAHO
File Number: 457245
ZIP code: 83646
County: Ada County
Mailing Address: STE 100 1500 W CAYUSE CREEK DR MERIDIAN, ID 83646-4757

Agent

Name Role Address
MATTHEW L KOOYMAN Agent 2694 W CADBURY DR, EAGLE, ID 83616

National Provider Identifier

NPI Number:
1356500318

Authorized Person:

Name:
MR. MATTHEW L KOOYMAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088848915

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005744799 2024-05-22
Application for Reinstatement 0005675223 2024-04-05
Dissolution/Revocation - Administrative 0003685888 2019-11-25
Annual Report 0002929153 2018-06-18
Annual Report 0002929152 2017-06-22

USAspending Awards / Financial Assistance

Date:
2014-02-07
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:
190000.00
Total Face Value Of Loan:
190000.00
Date:
2012-10-19
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:
1200000.00
Total Face Value Of Loan:
1200000.00
Date:
2011-09-29
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:
850000.00
Total Face Value Of Loan:
850000.00

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State