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EAST BOISE DENTAL, P.C.

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Company Details

Name: EAST BOISE DENTAL, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Jun 2011 (14 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 577744
Place of Formation: IDAHO
File Number: 577744
ZIP code: 83706
County: Ada County
Mailing Address: STE 100 727 E RIVERPARK LN BOISE, ID 83706-4097

Agent

Name Role Address
TODD R BROYLES Agent 727 E RIVERPARK LN, STE 100, BOISE, ID 83706

President

Name Role Address Appointed On
Todd R Broyles President 3758 E TIMBERSAW DR, BOISE, ID 83716 2021-05-04

Secretary

Name Role Address Appointed On Resigned On
Karen L Broyles Secretary 3758 E TIMBERSAW DR, BOISE, ID 83716 2024-05-03 2024-05-03

National Provider Identifier

NPI Number:
1194010272

Authorized Person:

Name:
DR. TODD BROYLES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
452496393
Plan Year:
2024
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006231909 2025-05-04
Annual Report 0005722071 2024-05-03
Annual Report 0005217711 2023-05-03
Annual Report 0004726492 2022-05-03
Annual Report 0004267169 2021-05-04

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$142,500
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$142,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$143,054.38
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $142,497
Jobs Reported:
14
Initial Approval Amount:
$142,500
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$142,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$143,304.25
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $142,500

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State