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COEUR D'ALENE DENTAL CENTER, PLLC

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Company Details

Name: COEUR D'ALENE DENTAL CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 577318
Place of Formation: IDAHO
File Number: 577318
ZIP code: 83815
County: Kootenai County
Principal Address: 1322 W KATHLEEN AVE #1 COEUR D ALENE, ID 83815
Mailing Address: STE 1 1322 W KATHLEEN AVE COEUR D ALENE, ID 83815-7365

Agent

Name Role Address
KENT MCVEY DDS Agent 1322 W KATHLEEN AVE #1, COEUR D ALENE, ID 83815

Manager

Name Role Address Appointed On
Coeur d Alene Dental Center Manager 1322 W. KATHLEEN AVE. SUITE 1, COEUR D ALENE, ID 83815 2020-09-03

National Provider Identifier

NPI Number:
1477847176

Authorized Person:

Name:
DR. GEFFREY THOMPSON
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
2087655753

Form 5500 Series

Employer Identification Number (EIN):
452398544
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005878343 2024-09-03
Annual Report 0005466616 2023-11-06
Annual Report 0004933257 2022-10-03
Annual Report 0004400345 2021-09-03
Annual Report 0003994462 2020-09-03

Paycheck Protection Program

Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
112600
Current Approval Amount:
112600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
113281.86
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
109900
Current Approval Amount:
109900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
110913.52

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State