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NATHAN BOURASSA DDS PA

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Company Details

Name: NATHAN BOURASSA DDS PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 04 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 608329
Place of Formation: IDAHO
File Number: 608329
ZIP code: 83854
County: Kootenai County
Mailing Address: 10871 W CRYSTAL BAY RD POST FALLS, ID 83854-4744

Agent

Name Role Address
NATHAN BOURASSA Agent 509 W HANLEY AVE STE 102, COEUR D ALENE, ID 83815

President

Name Role Address Appointed On
Nathan Bourassa President 10871 W CRYSTAL BAY RD, POST FALLS, ID 83854 2021-03-03

National Provider Identifier

NPI Number:
1588077598

Authorized Person:

Name:
DR. NATHAN GARY BOURASSA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2086651598

Filing

Filing Name Filing Number Filing date
Annual Report 0006135128 2025-03-03
Annual Report 0005682841 2024-04-07
Annual Report 0005137470 2023-03-05
Annual Report 0004636461 2022-03-07
Annual Report 0004190509 2021-03-03

USAspending Awards / Financial Assistance

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:
64862.50
Total Face Value Of Loan:
64862.50

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$64,862.5
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$64,862.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,235.68
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $64,862.5

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State