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WOODLAND FAMILY DENTAL PC

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Company Details

Name: WOODLAND FAMILY DENTAL PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Aug 2015 (10 years ago)
Financial Date End: 31 Aug 2021
Date dissolved: 17 Nov 2021
Entity Number: 622208
Place of Formation: IDAHO
File Number: 622208
ZIP code: 83854
County: Kootenai County
Mailing Address: 1100 E POLSTON AVE POST FALLS, ID 83854-7875

Agent

Name Role Address
DAVID WELTON Agent 1100 E. POLSTON AVE., POST FALLS, ID 83854

Vice President

Name Role Address Appointed On
Sunnshine M Welton Vice President 1100 E. POLSTON AVE., POST FALLS, ID 83854 2020-07-06

National Provider Identifier

NPI Number:
1528431665

Authorized Person:

Name:
DAVID GRAHAM WELTON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004500023 2021-11-17
Annual Report 0003931700 2020-07-06
Annual Report 0003576791 2019-07-23
Application for Reinstatement 0003291860 2018-02-09
Application for Reinstatement 0000939366 2018-01-24

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
152364.00
Total Face Value Of Loan:
152364.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$152,364
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$152,364
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$154,209.07
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $152,364

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State