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WILLOW TREE DENTAL, PLLC

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Company Details

Name: WILLOW TREE DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Feb 2016 (9 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 491822
Place of Formation: IDAHO
File Number: 491822
ZIP code: 83642
County: Ada County
Principal Address: 317 W. CHERRY LN. MERIDIAN, ID 83642
Mailing Address: 317 W CHERRY LN MERIDIAN, ID 83642-1608

Agent

Name Role Address
DOUGLAS DOWDLE DMD Agent 317 W CHERRY LN, MERIDIAN, ID 83642

Member

Name Role Address Appointed On Resigned On
Blake Imam Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2024-03-08 2024-03-08
Douglas Dowdle Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2024-03-08 2024-03-08
Julie Hess Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2021-07-26 No data

National Provider Identifier

NPI Number:
1942661038

Authorized Person:

Name:
DR. DOUGLAS DOWDLE
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
811537213
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006128922 2025-02-26
Annual Report 0005641210 2024-03-08
Annual Report 0005200651 2023-04-13
Application for Reinstatement 0004829684 2022-07-22
Dissolution/Revocation - Administrative 0004743922 2022-05-12

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
390749.00
Total Face Value Of Loan:
390749.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
384300.00
Total Face Value Of Loan:
384300.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
384300
Current Approval Amount:
384300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
389827.6
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
390749
Current Approval Amount:
390749
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
396176.66

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State