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LEWIS & HAWN EXCELLENCE IN DENTISTRY, PLLC

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Company Details

Name: LEWIS & HAWN EXCELLENCE IN DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Dec 2017 (8 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 584292
Place of Formation: IDAHO
File Number: 584292
ZIP code: 83864
County: Bonner County
Principal Address: 2025 W PINE ST SANDPOINT, ID 83864
Mailing Address: 2025 PINE ST SANDPOINT, ID 83864-9327

Agent

Name Role Address
KATIE BOGADI Agent 2025 W PINE ST, SANDPOINT, ID 83864

Member

Name Role Address Appointed On Resigned On
Mark Hawn Member 2025 PINE ST, SANDPOINT, ID 83864 2022-12-01 No data
James Lewis Member 2025 PINE ST, SANDPOINT, ID 83864 2020-11-03 2022-12-01

National Provider Identifier

NPI Number:
1548434459
Certification Date:
2023-09-05

Authorized Person:

Name:
MARK W HAWN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
823872990
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005969448 2024-11-06
Annual Report 0005490362 2023-11-29
Annual Report 0005004998 2022-12-01
Annual Report 0004491473 2021-11-08
Annual Report 0004050758 2020-11-03

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
100655.00
Total Face Value Of Loan:
100655.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
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:
105887.92
Total Face Value Of Loan:
105887.92

Paycheck Protection Program

Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
100655
Current Approval Amount:
100655
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
101110.02

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State