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STILSON DENTAL PARTNERSHIP PLLC

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Company Details

Name: STILSON DENTAL PARTNERSHIP PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 574615
Place of Formation: IDAHO
File Number: 574615
ZIP code: 83703
County: Ada County
Principal Address: 813 N STILSON RD BOISE, ID 83703
Mailing Address: 813 N STILSON RD BOISE, ID 83703-5119

Agent

Name Role Address
Jessica Spencer Agent 647 E SAN PEDRO ST, MERIDIAN, ID 83646

Member

Name Role Address Appointed On Resigned On
Alexander Reimann Member 3297 S RUFFIAN LANE, MERIDIAN, ID 83642 2023-09-07 No data
KAREN BECK Member 672 E SAN PEDRO, MERIDIAN, ID 83646 2023-09-07 No data
JESSICA SPENCER Member 647 E SAN PEDRO STREET, MERIDIAN, ID 83646 2023-02-06 No data
Tyson Gray Member 3850 E MACKAY, MERIDIAN, ID 83642 2020-11-11 2023-02-06

National Provider Identifier

NPI Number:
1669984902

Authorized Person:

Name:
TYSON N GRAY
Role:
MANAGING PARTNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083752008

Filing

Filing Name Filing Number Filing date
Annual Report 0005891815 2024-09-06
Annual Report 0005389340 2023-09-07
Annual Report Amendment 0005096523 2023-02-06
Annual Report 0004949711 2022-10-11
Annual Report 0004497441 2021-11-15

USAspending Awards / Financial Assistance

Date:
2021-02-24
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:
201723.00
Total Face Value Of Loan:
201723.00
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:
200600.00
Total Face Value Of Loan:
200600.00

Paycheck Protection Program

Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
201723
Current Approval Amount:
201723
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
203159.93
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
200600
Current Approval Amount:
200600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
202265.25

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State