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ATLANTIS DENTAL CARE, P.A.

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Company Details

Name: ATLANTIS DENTAL CARE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Apr 2004 (21 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 468929
Place of Formation: IDAHO
File Number: 468929
Mailing Address: STE 100 13238 W PERSIMMON LN BOISE, ID 83713-1968

Agent

Name Role Address
DAVID L CANTWELL DDS Agent 13238 W PERSIMMON LN STE 100, BOISE, ID 83717

President

Name Role Address Appointed On
David L Cantwell President 1202 W SANDY CT, MERIDIAN, ID 84646 2021-03-05

Secretary

Name Role Address Appointed On Resigned On
Jennifer C Cantwell Secretary 1202 W SANDY CT, MERIDIAN, ID 83646 2024-03-05 2024-03-05

National Provider Identifier

NPI Number:
1588273635
Certification Date:
2020-07-24

Authorized Person:

Name:
DR. DAVID LAWRENCE CANTWELL
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006138227 2025-03-03
Annual Report 0005634605 2024-03-05
Annual Report 0005134078 2023-03-03
Annual Report 0004695113 2022-04-11
Annual Report 0004199895 2021-03-05

USAspending Awards / Financial Assistance

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:
77000.00
Total Face Value Of Loan:
67700.00

Paycheck Protection Program

Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
77000
Current Approval Amount:
67700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
68113.62

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State