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BIRD FAMILY DENTAL IDAHO FALLS, PLLC

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Company Details

Name: BIRD FAMILY DENTAL IDAHO FALLS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 575536
Place of Formation: IDAHO
File Number: 575536
ZIP code: 83804
County: Bonner County
Principal Address: 3381 MERLIN DRIVE IDAHO FALLS, ID 83804
Mailing Address: 3381 MERLIN DR IDAHO FALLS, ID 83404-7405

Agent

Name Role Address
JAYSON BIRD Agent 3381 MERLIN DR, IDAHO FALLS, ID 83404-7405

Manager

Name Role Address Appointed On
Jayson Bird Manager 5215 SOLSTICE LANE, IDAHO FALLS, ID 83404 2020-09-03

National Provider Identifier

NPI Number:
1508378647

Authorized Person:

Name:
JAYSON ANDERS BIRD
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086805144

Form 5500 Series

Employer Identification Number (EIN):
823239048
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005876736 2024-09-03
Annual Report 0005402365 2023-09-15
Annual Report 0004982811 2022-11-05
Annual Report 0004438669 2021-10-05
Annual Report 0003992845 2020-09-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
88000.00
Total Face Value Of Loan:
88000.00

Paycheck Protection Program

Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
88000
Current Approval Amount:
88000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
88801.78

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State