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  5. AFFORDABLE FAMILY DENTISTRY P.C.

AFFORDABLE FAMILY DENTISTRY P.C.

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Company Details

Name: AFFORDABLE FAMILY DENTISTRY P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Dec 2009 (16 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 560382
Place of Formation: IDAHO
File Number: 560382
ZIP code: 83404
County: Bonneville County
Mailing Address: 1400 E 17TH ST. IDAHO FALLS, ID 83404

Agent

Name Role Address
TRACY D JENKINS Agent 1400 E 17TH ST., IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
Tracy D Jenkins President 1400 E 17TH ST., IDAHO FALLS, ID 83404 2020-11-03

National Provider Identifier

NPI Number:
1245560945
Certification Date:
2023-10-20
Link:
View on NPI website

Authorized Person:

Name:
DR. TRACY DEAN JENKINS
Role:
PRESIDENT
Phone:
2088819177

Taxonomy:

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

Contacts:

Phone:
+1 208-881-9177
Fax:
8667670878

Filing

Filing Name Filing Number Filing date
Annual Report 0006035673 2024-12-26
Annual Report 0005465598 2023-11-06
Annual Report 0005008750 2022-12-03
Annual Report 0004491981 2021-11-08
Annual Report 0004046908 2020-11-03

USAspending Awards / Financial Assistance

Date:
2020-04-11
Link:
View on USAspending
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:
73400.00
Total Face Value Of Loan:
73400.00
Date:
2017-07-10
Link:
View on USAspending
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:
30000.00
Total Face Value Of Loan:
80000.00
Date:
2013-03-14
Link:
View on USAspending
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:
306000.00
Total Face Value Of Loan:
306000.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$73,400
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,400
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$69,219.43
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $73,400
Jobs Reported:
10
Initial Approval Amount:
$68,182
Date Approved:
2021-03-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$68,182
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$68,510.77
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $68,180
Utilities: $1

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State

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