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NORTHVIEW DENTAL PARTNERSHIP, PLLC

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Company Details

Name: NORTHVIEW DENTAL PARTNERSHIP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 558511
Place of Formation: IDAHO
File Number: 558511
ZIP code: 83646
County: Ada County
Principal Address: 5621 N BOLSENA AVE MERIDIAN, ID 83646
Mailing Address: 5621 N BOLSENA AVE MERIDIAN, ID 83646-7010

Agent

Name Role Address
Paul JJ Clawson Agent 5621 N BOLSENA AVE, MERIDIAN, ID 83646-7010

Member

Name Role Address Appointed On Resigned On
Tyson Gray Member 3850 E MACKAY CT, MERIDIAN, ID 83642 2023-03-20 No data
Jessica Spencer Member 647 E SAN PEDRO ST, MERIDIAN, ID 83646 2020-09-02 2023-03-20

Manager

Name Role Address Appointed On Resigned On
Paul JJ Clawson Manager 5621 N BOLSENA AVE, MERIDIAN, ID 83646 2024-05-08 2024-05-08

National Provider Identifier

NPI Number:
1972023398

Authorized Person:

Name:
KARLA LOUISE PICCIOTTI
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2083758208

Form 5500 Series

Employer Identification Number (EIN):
821874406
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006092704 2025-02-14
Annual Report 0005730935 2024-05-08
Annual Report 0005218575 2023-05-03
Amendment to Certificate 0005161284 2023-03-20
Annual Report 0004782997 2022-06-14

USAspending Awards / Financial Assistance

Date:
2021-02-23
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:
61423.00
Total Face Value Of Loan:
61423.00
Date:
2020-04-28
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:
60800.00
Total Face Value Of Loan:
60800.00

Paycheck Protection Program

Date Approved:
2021-02-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
61423
Current Approval Amount:
61423
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
61877.36
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
60800
Current Approval Amount:
60800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
61359.69

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State