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ELISON ORAL AND MAXILLOFACIAL SURGERY, INC.

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Company Details

Name: ELISON ORAL AND MAXILLOFACIAL SURGERY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Nov 2009 (16 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 559913
Place of Formation: IDAHO
File Number: 559913
ZIP code: 83404
County: Bonneville County
Mailing Address: 2588 CHANNING WAY IDAHO FALLS, ID 83404-7515

Agent

Name Role Address
MARK T ELISON Agent 2588 CHANNING WAY, IDAHO FALLS, ID 83404

Vice President

Name Role Address Appointed On
Jamie Elison Vice President 2588 CHANNING WAY, IDAHO FALLS, ID 83404-7515 2020-11-05

National Provider Identifier

NPI Number:
1114255916

Authorized Person:

Name:
DR. MARK TURNEY ELISON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005940728 2024-10-14
Annual Report 0005448611 2023-10-25
Annual Report 0004934676 2022-10-04
Annual Report 0004435616 2021-10-04
Annual Report 0004059612 2020-11-05

USAspending Awards / Financial Assistance

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:
64700.00
Total Face Value Of Loan:
64700.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$64,700
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$64,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,136.06
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $64,700

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State