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BOISE VALLEY ORTHODONTICS, PLLC

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Company Details

Name: BOISE VALLEY ORTHODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Aug 2015 (10 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 471257
Place of Formation: IDAHO
File Number: 471257
ZIP code: 83607
County: Canyon County
Principal Address: 4111 CLOCK TOWER AVE CALDWELL, ID 83607
Mailing Address: 4111 CLOCK TOWER AVE CALDWELL, ID 83607-5006

Manager

Name Role Address Appointed On
Brendon J Swensen Manager 4111 CLOCK TOWER AVENUE, CALDWELL, ID 83607 2023-07-03

Member

Name Role Address Appointed On
Dennis G Stoddard Member 1417 WINCHESTER DR, POCATELLO, ID 83201 2020-09-12

Agent

Name Role Address
ERIC L OLSEN Agent 505 PERSHING STE 100, POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1215395025

Authorized Person:

Name:
DR. BRENDON JAMES SWENSON
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005797182 2024-07-03
Annual Report 0005302123 2023-07-03
Annual Report 0004840446 2022-08-03
Annual Report 0004331855 2021-07-03
Annual Report 0004002647 2020-09-12

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
30300.00
Total Face Value Of Loan:
30300.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
30300
Current Approval Amount:
30300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
30759.9

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State