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CLOCK TOWER DENTAL P.A.

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Company Details

Name: CLOCK TOWER DENTAL P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 06 Jan 2004 (22 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 463654
Place of Formation: IDAHO
File Number: 463654
ZIP code: 83607
County: Canyon County
Mailing Address: 4105 CLOCK TOWER AVE CALDWELL, ID 83607-5006

Agent

Name Role Address
DARIN R MOOSO Agent 4105 CLOCK TOWER AVE, CALDWELL, ID 83607

President

Name Role Address Appointed On
Darin R Mooso President 4105 CLOCK TOWER AVE, CALDWELL, ID 83607 2020-12-22

Treasurer

Name Role Address Appointed On Resigned On
Marcus A Thayn Treasurer 4105 CLOCK TOWER AVE, CALDWELL, ID 83607 2023-12-05 2023-12-05

National Provider Identifier

NPI Number:
1720128432

Authorized Person:

Name:
DR. DARIN R MOOSO
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
412111450
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006021830 2024-12-12
Annual Report 0005500689 2023-12-05
Annual Report 0005080027 2023-01-24
Annual Report 0004594194 2022-02-03
Annual Report 0004105611 2020-12-22

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$109,830
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,830
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$110,395.7
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $109,830

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State