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BIRCHWOOD DENTAL, PLLC

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Company Details

Name: BIRCHWOOD DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 06 Nov 2017 (8 years ago)
Financial Date End: 30 Nov 2025
Date dissolved: 19 May 2025
Entity Number: 577661
Place of Formation: IDAHO
File Number: 577661
ZIP code: 83713
County: Ada County
Principal Address: 11926 W RACE ST BOISE, ID 83713
Mailing Address: STE 140 3325 N TEN MILE RD MERIDIAN, ID 83646-6951

Agent

Name Role Address
TIFFANY HOLDAWAY Agent 2037 W GRASSY BRANCH DR, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Gaylan C Holdaway Manager 2037 W GRASSY BRANCH DR, MERIDIAN, ID 83646 2020-10-05

National Provider Identifier

NPI Number:
1891304556
Certification Date:
2020-08-10

Authorized Person:

Name:
DR. GAYLAN CHRIS HOLDAWAY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8552046128

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0006259726 2025-05-19
Annual Report 0005919610 2024-10-03
Annual Report 0005417368 2023-10-03
Annual Report 0004931255 2022-10-03
Annual Report 0004440698 2021-10-07

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
17025.00
Total Face Value Of Loan:
17025.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
17025
Current Approval Amount:
17025
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
17169.6

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State