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  5. TREASURE VALLEY PEDIATRIC DENTISTRY, P.C.

TREASURE VALLEY PEDIATRIC DENTISTRY, P.C.

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Company Details

Name: TREASURE VALLEY PEDIATRIC DENTISTRY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Aug 2003 (22 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 457444
Place of Formation: IDAHO
File Number: 457444
ZIP code: 83709
County: Ada County
Mailing Address: 1564 S TIMESQUARE LN BOISE, ID 83709-8266

Agent

Name Role Address
ROY H ROGERS DDS Agent 1564 S TIMESQUARE LN, BOISE, ID 83709

Director

Name Role Address Appointed On
Roy H. Rogers Director 1564 S TIMESQUARE LANE, BOISE, ID 83709 2021-01-26

National Provider Identifier

NPI Number:
1568902286
Link:
View on NPI website

Authorized Person:

Name:
DR. ROY ROGERS
Role:
PEDIATRIC DENTIST
Phone:
2083768873

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 208-376-8873
Fax:
2083778875

Form 5500 Series

Employer Identification Number (EIN):
200149412
Plan Year:
2015
Number Of Participants:
16
Sponsors Telephone Number:
2083768873
File:
View File
Plan Year:
2014
Number Of Participants:
14
Sponsors Telephone Number:
2083768873
File:
View File
Plan Year:
2013
Number Of Participants:
14
Sponsors Telephone Number:
2083768873
File:
View File
Plan Year:
2012
Number Of Participants:
12
Sponsors Telephone Number:
2083768873
File:
View File
Plan Year:
2011
Number Of Participants:
12
Sponsors Telephone Number:
2083768873
File:
View File

Filing

Filing Name Filing Number Filing date
Annual Report 0006364880 2025-07-18
Annual Report 0005874418 2024-08-30
Annual Report 0005368190 2023-08-21
Annual Report 0004876208 2022-09-02
Annual Report 0004409367 2021-09-07

USAspending Awards / Financial Assistance

Date:
2021-02-15
Link:
View on USAspending
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:
166173.00
Total Face Value Of Loan:
166173.00
Date:
2020-04-09
Link:
View on USAspending
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:
159700.00
Total Face Value Of Loan:
159700.00
Date:
2020-04-09
Link:
View on USAspending
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:
159700.00
Total Face Value Of Loan:
159700.00
Date:
2010-05-14
Link:
View on USAspending
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:
75000.00
Total Face Value Of Loan:
75000.00
Date:
2010-05-13
Link:
View on USAspending
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:
-75000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$166,173
Date Approved:
2021-02-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,173
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$167,352.15
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $166,171
Utilities: $1
Jobs Reported:
18
Initial Approval Amount:
$159,700
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$159,700
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$161,121.99
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $119,775
Utilities: $19,962.5
Mortgage Interest: $19,962.5

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1564 S TIMESQUARE LN BOISE, ID 83709-8266

ROGERS & ROGERS, L.L.C. ROGERS & DAYLEY ENTERPRISES LLC R&R2 LLC R & D ANESTHESIA LLC RIVER CITY SURGICAL CENTER, PLLC R&R3 LLC

Date of last update: 09 Aug 2025

Sources: Idaho Secretary of State

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