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BEAR LAKE DENTAL CARE, PLLC

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Company Details

Name: BEAR LAKE DENTAL CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Apr 2000 (25 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 49769
Place of Formation: IDAHO
File Number: 49769
ZIP code: 83254
County: Bear Lake County
Principal Address: 215 S 4TH ST MONTPELIER, ID 83254-1591
Mailing Address: CINDY COOK 215 S 4TH ST MONTPELIER, ID 83254-1591

Agent

Name Role Address
MONTY B WESTON Agent 215 S 4TH, MONTPELIER, ID 83254

Manager

Name Role Address Appointed On
Micah D Himmerich Manager 215 S 4TH STREET, MONTPELIER, ID 83254 2021-03-08

Member

Name Role Address Appointed On
Micah D Himmerich Member 215 S 4TH STREET, MONTPELIER, ID 83254 2025-03-03

National Provider Identifier

NPI Number:
1811001498

Authorized Person:

Name:
LINDA K TIMOTHY
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088472938

Form 5500 Series

Employer Identification Number (EIN):
820521971
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
18
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006133655 2025-03-03
Application for Reinstatement 0005783274 2024-06-18
Dissolution/Revocation - Administrative 0004810696 2022-07-09
Annual Report 0004200928 2021-03-08
Annual Report 0003792613 2020-03-03

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
2020-04-11
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:
98025.00
Total Face Value Of Loan:
98025.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
98025
Current Approval Amount:
98025
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
98577.46

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State