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BOISE DENTAL CENTER PLLC

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Company Details

Name: BOISE DENTAL CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 May 2015 (10 years ago)
Financial Date End: 31 May 2026
Entity Number: 461796
Place of Formation: IDAHO
File Number: 461796
ZIP code: 83702
County: Ada County
Principal Address: 801 N 10TH ST BOISE, ID 83702
Mailing Address: 801 N 10TH ST BOISE, ID 83702-5423

Agent

Name Role Address
EVAN SMITH Agent 801 N 10TH ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
Evan Smith Manager 801 N 10TH ST, BOISE, ID 83702 2021-05-11

National Provider Identifier

NPI Number:
1538279450

Authorized Person:

Name:
DR. MICHAEL E SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2083434995

Form 5500 Series

Employer Identification Number (EIN):
474151507
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006245565 2025-05-08
Annual Report 0005743349 2024-05-21
Annual Report 0005175177 2023-04-03
Annual Report 0004733413 2022-05-04
Annual Report 0004279712 2021-05-11

USAspending Awards / Financial Assistance

Date:
2021-03-01
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:
57600.00
Total Face Value Of Loan:
57600.00
Date:
2020-04-07
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:
57600.00
Total Face Value Of Loan:
57600.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
57600
Current Approval Amount:
57600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
57896.68

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State