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RANDALL ORTHODONTICS, P.A.

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Company Details

Name: RANDALL ORTHODONTICS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Apr 2009 (16 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 552832
Place of Formation: IDAHO
File Number: 552832
ZIP code: 83406
County: Bonneville County
Mailing Address: 3285 E 17TH ST AMMON, ID 83406-6718

Agent

Name Role Address
C JARED RANDALL Agent 3285 E 17TH ST, AMMON, ID 83406

President

Name Role Address Appointed On
Jared Randall President 3285 E. 17TH STREET, AMMON, ID 83406 2021-03-03

National Provider Identifier

NPI Number:
1902032246

Authorized Person:

Name:
DR. CHARLES JARED RANDALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
264694261
Plan Year:
2024
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006135082 2025-03-03
Annual Report 0005636771 2024-03-05
Annual Report 0005132572 2023-03-03
Annual Report 0004637154 2022-03-07
Annual Report 0004188929 2021-03-03

USAspending Awards / Financial Assistance

Date:
2009-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
50000.00
Total Face Value Of Loan:
50000.00
Date:
2009-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
200000.00
Total Face Value Of Loan:
200000.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
97800
Current Approval Amount:
97700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
98465.54

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State