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STONE RIDGE DENTAL, P.C.

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Company Details

Name: STONE RIDGE DENTAL, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Dec 2012 (12 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 594200
Place of Formation: IDAHO
File Number: 594200
ZIP code: 83274
County: Bingham County
Mailing Address: 1579 N 885 E SHELLEY, ID 83274-3201

Agent

Name Role Address
CURTIS W CARPENTER Agent 295 ANDERSON, SHELLEY, ID 83274

President

Name Role Address Appointed On
Curtis Carpenter President 1579 NORTH 885 EAST, SHELLEY, ID 83274 2020-11-03

National Provider Identifier

NPI Number:
1609113455

Authorized Person:

Name:
DR. CURTIS CARPENTER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
263311556
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006215501 2025-04-23
Annual Report 0005959455 2024-11-04
Annual Report 0005455699 2023-11-03
Annual Report 0004968740 2022-11-03
Annual Report 0004492680 2021-11-09

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:
79750.00
Total Face Value Of Loan:
79750.00

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State