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AVALON DENTAL P.C.

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Company Details

Name: AVALON DENTAL P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 18 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 527261
Place of Formation: IDAHO
File Number: 527261
ZIP code: 83634
County: Ada County
Mailing Address: STE 101 672 E WYTHE CREEK CT KUNA, ID 83634-5216

Agent

Name Role Address
JAMES GRANT Agent 672 E WYTHE CREEK CT #101, KUNA, ID 83634

President

Name Role Address Appointed On
James D Grant President 672 E WYTHE CREEK CRT, KUNA, ID 83709 2020-07-14

National Provider Identifier

NPI Number:
1962850933

Authorized Person:

Name:
DR. JAMES D. GRANT
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086292801

Form 5500 Series

Employer Identification Number (EIN):
260549404
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006311482 2025-06-10
Annual Report 0005755813 2024-06-03
Annual Report 0005265487 2023-06-05
Annual Report 0004771841 2022-06-06
Annual Report 0004300803 2021-06-03

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
79255
Current Approval Amount:
79255
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
79817.38

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State