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COLLINS FAMILY DENTISTRY, P.C.

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Company Details

Name: COLLINS FAMILY DENTISTRY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Aug 2012 (13 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 590349
Place of Formation: IDAHO
File Number: 590349
ZIP code: 83605
County: Canyon County
Mailing Address: 301 E ASH ST CALDWELL, ID 83605-5282

Agent

Name Role Address
MELISSA ANN COLLINS Agent 514 W ROSS LN, CALDWELL, ID 83605

President

Name Role Address Appointed On
Kyle B Collins President 514 W ROSS LN, CALDWELL, ID 83605 2020-07-03

National Provider Identifier

NPI Number:
1962750349

Authorized Person:

Name:
KYLE B COLLINS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084596947

Filing

Filing Name Filing Number Filing date
Annual Report 0006344265 2025-07-08
Annual Report 0005795428 2024-07-03
Annual Report 0005306760 2023-07-06
Annual Report 0004801984 2022-07-05
Annual Report 0004332523 2021-07-05

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
67125.00
Total Face Value Of Loan:
67125.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$67,125
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,125
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,623.38
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $67,125

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Date of last update: 13 Aug 2025

Sources: Idaho Secretary of State