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ONEIDA FAMILY DENTAL, LLC

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Company Details

Name: ONEIDA FAMILY DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Dec 2017 (8 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 580424
Place of Formation: IDAHO
File Number: 580424
ZIP code: 83252
County: Oneida County
Principal Address: 150 S MAIN ST MALAD CITY, ID 83252
Mailing Address: APT 16 150 S MAIN ST MALAD CITY, ID 83252-1405

Agent

Name Role Address
DR STEPHEN V SUTTON DMD Agent 150 S MAIN ST, MALAD CITY, ID 83252

Member

Name Role Address Appointed On Resigned On
Steven V Sutton DMD PA Member 2090 W ARIMO ROAD, ARIMO, ID 83214 2020-12-08 No data
R and J Perkins Inc Member 5801 S OLD HIGHWAY 91, MCCAMMON, ID 83250 2023-12-01 2023-12-01

National Provider Identifier

NPI Number:
1316454333

Authorized Person:

Name:
SHENELL CLARK
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006020421 2024-12-11
Annual Report 0005492030 2023-12-01
Annual Report 0005014064 2022-12-05
Annual Report 0004512194 2021-12-03
Annual Report 0004094516 2020-12-08

USAspending Awards / Financial Assistance

Date:
2020-04-08
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:
13000.00
Total Face Value Of Loan:
13000.00

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
13000
Current Approval Amount:
13000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
13104

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State