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INTERMOUNTAIN DENTAL, PC

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Company Details

Name: INTERMOUNTAIN DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Dec 2006 (19 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 515998
Place of Formation: IDAHO
File Number: 515998
ZIP code: 83864
County: Bonner County
Mailing Address: 519 JENNY LN SANDPOINT, ID 83864-6006

Agent

Name Role Address
MARK E DUKE DMD Agent 519 JENNY LN, SANDPOINT, ID 83864

President

Name Role Address Appointed On
Mark E Duke President 519 JENNY LN, SANDPOINT, ID 83864-6006 2020-11-19

National Provider Identifier

NPI Number:
1184217168
Certification Date:
2021-02-02

Authorized Person:

Name:
MARK EDWARD DUKE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084481242

Form 5500 Series

Employer Identification Number (EIN):
208027551
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005986034 2024-11-16
Annual Report 0005557393 2024-01-10
Annual Report 0005028059 2022-12-12
Annual Report 0004495726 2021-11-11
Annual Report 0004071382 2020-11-19

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
67032.00
Total Face Value Of Loan:
67032.00
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:
50303.00
Total Face Value Of Loan:
50303.00

Paycheck Protection Program

Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
67032
Current Approval Amount:
67032
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
67368.08
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
50303
Current Approval Amount:
50303
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
50643.41

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State