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AUSTIN CREEK DENTAL, PC
Company Details
| Name: |
AUSTIN CREEK DENTAL, PC |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Active-Good Standing
|
| Date of registration: |
09 Apr 2009 (16 years ago)
|
| Financial Date End: |
30 Apr 2026 |
| Entity Number: |
552357 |
| Place of Formation: |
IDAHO |
| File Number: |
552357 |
| ZIP code: |
83646
|
| County: |
Ada County |
| Mailing Address: |
STE 100 4702 N PENNGROVE WAY MERIDIAN, ID 83646-7449 |
Agent
| Name |
Role |
Address |
|
PAUL J STARK
|
Agent
|
660 E FRANKLIN RD STE 220, MERIDIAN, ID 83642
|
President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Timothy Hansen
|
President
|
885 N COBBLESTONE WAY, EAGLE, ID 83616
|
2021-07-14
|
2022-03-03
|
|
Tim Hansen
|
President
|
4702 N PENNGROVE WAY, MERIDIAN, ID 83646
|
2022-03-03
|
No data
|
Secretary
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Tim Hansen
|
Secretary
|
4702 N PENNGROVE WAY, MERIDIAN, ID 83646
|
2024-05-06
|
2024-05-06
|
Treasurer
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Tim Hansen
|
Treasurer
|
4702 N PENNGROVE WAY, MERIDIAN, ID 83646
|
2024-05-06
|
2024-05-06
|
Vice President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Camille Hansen
|
Vice President
|
4702 N PENNGROVE WAY, MERIDIAN, ID 83646-7449
|
2024-05-06
|
2024-05-06
|
National Provider Identifier
Authorized Person:
Name:
MR. TIMOTHY A HANSEN
Taxonomy:
Selected Taxonomy:
122300000X - Dentist
Contacts:
Paycheck Protection Program
Initial Approval Amount:
$73,200
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,200
Ethnicity:
Unknown/NotStated
Forgiveness Amount:
$74,086.42
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $73,200
Initial Approval Amount:
$84,769
Date Approved:
2021-02-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$84,769
Ethnicity:
Unknown/NotStated
Forgiveness Amount:
$85,328.71
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $84,767
Utilities: $1
This company hasn't received any reviews.
Date of last update: 04 Jul 2025
Sources:
Idaho Secretary of State
