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DRISCOLL DENTAL, PLLC

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Company Details

Name: DRISCOLL DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Jun 2015 (10 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 464890
Place of Formation: IDAHO
File Number: 464890
ZIP code: 83202
County: Bannock County
Principal Address: 889 DELL ROAD CHUBBUCK, ID 83202
Mailing Address: 13361 LUNA LN POCATELLO, ID 83202-5289

Agent

Name Role Address
Mitch J Driscoll Agent 13361 LUNA LN, POCATELLO, ID 83202-4957

Manager

Name Role Address Appointed On
Mitch J Driscoll Manager 13361 LUNA LN, POCATELLO, ID 83202-4957 2021-06-21

Member

Name Role Address Appointed On
Kristi Driscoll Member 13361 LUNA LN, POCATELLO, ID 83202 2024-06-03

National Provider Identifier

NPI Number:
1124488507

Authorized Person:

Name:
DR. MITCH J DRISCOLL
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005754316 2024-06-03
Annual Report 0005283913 2023-06-14
Change of Registered Office/Agent/Both (by Entity) 0004725806 2022-05-03
Annual Report 0004723615 2022-05-03
Annual Report 0004321720 2021-06-21

USAspending Awards / Financial Assistance

Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
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:
33400.00
Total Face Value Of Loan:
33400.00
Date:
2018-03-09
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:
50000.00
Total Face Value Of Loan:
50000.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
33400
Current Approval Amount:
33400
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
33633.07

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State