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CEDAR HILLS FAMILY DENTISTRY, PC

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Company Details

Name: CEDAR HILLS FAMILY DENTISTRY, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Apr 2005 (20 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 485733
Place of Formation: IDAHO
File Number: 485733
ZIP code: 83204
County: Power County
Mailing Address: 1525 BANNOCK HWY POCATELLO, ID 83204-3509

Agent

Name Role Address
D MICHAEL SUTTON DDS Agent 1525 BANNOCK HWY, POCATELLO, ID 83204

Secretary

Name Role Address Appointed On
ERICA L SUTTON Secretary 1525 BANNOCK HWY, POCATELLO, ID 83204 2021-04-20

President

Name Role Address Appointed On Resigned On
DAVID M SUTTON President 1525 BANNOCK HWY, POCATELLO, ID 83204 2024-04-08 2024-04-08

National Provider Identifier

NPI Number:
1659544427

Authorized Person:

Name:
DR. DAVID MICHAEL SUTTON
Role:
PRESIDENT/DENTIST
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
202810761
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006181384 2025-04-02
Annual Report 0005684160 2024-04-08
Annual Report 0005177673 2023-04-03
Annual Report 0004684142 2022-04-04
Annual Report 0004252441 2021-04-20

USAspending Awards / Financial Assistance

Date:
2020-04-09
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:
52000.00
Total Face Value Of Loan:
52000.00

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
52000
Current Approval Amount:
52000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
52414.58

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State