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BLAIR PEDIATRIC DENTISTRY P.C.

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Company Details

Name: BLAIR PEDIATRIC DENTISTRY P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 19 May 2014 (11 years ago)
Financial Date End: 31 May 2026
Entity Number: 609747
Place of Formation: IDAHO
File Number: 609747
ZIP code: 83646
County: Ada County
Mailing Address: STE 100 37 W ARCHERFIELD ST MERIDIAN, ID 83646-7721

Vice President

Name Role Address Appointed On
Marne' BLair Vice President 126 E CORDOBA CT, MERIDIAN, ID 83646 2021-05-03

Agent

Name Role Address
RANDALL BLAIR DMD Agent 37 W ARCHERFIELD ST., SUITE 100, MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1629483987

Authorized Person:

Name:
DR. RANDALL P BLAIR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
470961549
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006183664 2025-04-03
Annual Report 0005671600 2024-04-03
Annual Report 0005233836 2023-05-09
Annual Report 0004684588 2022-04-04
Annual Report 0004264261 2021-05-03

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:
79239.95
Total Face Value Of Loan:
79239.95

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$79,239.95
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$79,239.95
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$80,277.67
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Utilities: $79,239.95

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State