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LAROSE DENTAL, P.A.

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Company Details

Name: LAROSE DENTAL, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 09 Aug 2012 (13 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 590241
Place of Formation: IDAHO
File Number: 590241
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 200 1420 LINCOLN WAY COEUR D ALENE, ID 83814-2360

Agent

Name Role Address
Sarah Fletcher Agent 1420 LINCOLN WAY, STE 200, COEUR D ALENE, ID 83814-2360

President

Name Role Address Appointed On
Alexis C. LaRose President 1420 LINCOLN WAY, COEUR D'ALENE, ID 83814 2022-12-14

Secretary

Name Role Address Appointed On Resigned On
Nick B. Larose Secretary 609 S. RIVERSIDE HARBOR DRIVE, POST FALLS, ID 83854 2020-08-06 2022-12-14

National Provider Identifier

NPI Number:
1578815130

Authorized Person:

Name:
ALEXIS LAROSE
Role:
PRESIDENT/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
460778597
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0006203302 2025-04-17
Notice of Determination 0006202944 2025-04-10
Annual Report 0005815362 2024-07-10
Annual Report 0005303577 2023-07-05
Annual Report 0005029661 2022-12-14

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$201,900
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$201,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$203,149.91
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $201,900

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State