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PARAMOUNT FAMILY DENTAL, L.L.C.

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Company Details

Name: PARAMOUNT FAMILY DENTAL, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jan 2016 (10 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 488091
Place of Formation: IDAHO
File Number: 488091
ZIP code: 83704
County: Ada County
Principal Address: 10162 W FAIRVIEW AVE BOISE, ID 83704
Mailing Address: 10162 W FAIRVIEW AVE BOISE, ID 83704-8117

Agent

Name Role Address
JOHN E HISEL JR DDS Agent 10162 W FAIRVIEW AVE, BOISE, ID 83704

Manager

Name Role Address Appointed On
John E Hisel Jr Manager 10162 W FAIRVIEW AVE, BOISE, ID 83704 2020-12-28

Member

Name Role Address Appointed On Resigned On
Eric Hoidal Member 10162 W FAIRVIEW AVE, BOISE, ID 83704 2024-01-30 2024-01-30

National Provider Identifier

NPI Number:
1194182725

Authorized Person:

Name:
ALLISON ROCHELLE GROVER
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223D0001X - Public Health Dentist
Is Primary:
Yes

Contacts:

Fax:
2083787333

Form 5500 Series

Employer Identification Number (EIN):
811200039
Plan Year:
2023
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006109767 2025-02-14
Annual Report 0005574582 2024-01-30
Annual Report 0005033153 2022-12-18
Annual Report 0004584606 2022-01-28
Annual Report 0004108332 2020-12-28

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
165144
Current Approval Amount:
165144
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
166763.33

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State