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MCMILLAN FAMILY DENTAL, PLLC

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Company Details

Name: MCMILLAN FAMILY DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jul 2018 (7 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 620181
Place of Formation: IDAHO
File Number: 620181
ZIP code: 83642
County: Ada County
Principal Address: 1848 S MILLENNIUM WAY MERIDIAN, ID 83642
Mailing Address: 1720 W MCMILLAN RD MERIDIAN, ID 83646-6892

Agent

Name Role Address
DR RANDALL SMITH Agent 1720 W MCMILLAN RD, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Randall B Smith Manager 5113 N GOLDEN VIEW CT, STAR, ID 83669 2021-06-21

Member

Name Role Address Appointed On
Jake Gerard Member 5136 N HIGH COUNTRY WAY, STAR, ID 83669 2023-08-03

National Provider Identifier

NPI Number:
1275015950
Certification Date:
2022-01-26

Authorized Person:

Name:
RANDALL B SMITH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086391357

Form 5500 Series

Employer Identification Number (EIN):
831606723
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005818498 2024-07-12
Annual Report 0005344848 2023-08-03
Annual Report 0004770264 2022-06-05
Annual Report 0004321065 2021-06-21
Annual Report 0003901366 2020-06-05

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:
36650.97
Total Face Value Of Loan:
36650.97

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
36650.97
Current Approval Amount:
36650.97
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
36887.95

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Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State