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ROBERT L. FACKRELL, D.D.S., P.A.

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Company Details

Name: ROBERT L. FACKRELL, D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 05 May 2006 (19 years ago)
Financial Date End: 31 May 2026
Entity Number: 505525
Place of Formation: IDAHO
File Number: 505525
ZIP code: 83201
County: Bannock County
Mailing Address: STE A 415 N 3RD AVE POCATELLO, ID 83201-6306

Agent

Name Role Address
ERIC L OLSEN Agent 201 E CENTER, POCATELLO, ID 83201

President

Name Role Address Appointed On
Robert L Fackrell President 415 N. 3RD AVE, POCATELLO, ID 83204 2021-06-08

National Provider Identifier

NPI Number:
1801225180

Authorized Person:

Name:
DR. ROBERT L FACKRELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2082330582

Filing

Filing Name Filing Number Filing date
Annual Report 0006206333 2025-04-14
Annual Report 0005683745 2024-04-08
Annual Report 0005176696 2023-04-03
Annual Report 0004763739 2022-06-02
Annual Report 0004310246 2021-06-08

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
44700.00
Total Face Value Of Loan:
44700.00
Date:
2012-10-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
317000.00
Total Face Value Of Loan:
387000.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$44,700
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$45,176.39
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $44,700

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State