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TEN MILE SMILES PC

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Company Details

Name: TEN MILE SMILES PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 20 Jun 2016 (9 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 627916
Place of Formation: IDAHO
File Number: 627916
ZIP code: 83646
County: Ada County
Mailing Address: 3118 W MILANO DR MERIDIAN, ID 83646-7290

Agent

Name Role Address
WARREN WILLIS Agent 2655 SAND HILL LANE, EMMETT, ID 83617

President

Name Role Address Appointed On
Warren R Willis President 2655 SAND HILL LN, EMMETT, ID 83617 2021-06-07

Director

Name Role Address Appointed On Resigned On
Bernt White Director 1880 N EMERALD BAY AVE, EAGLE, ID 83616 2024-05-06 2024-05-06

Vice President

Name Role Address Appointed On Resigned On
Steven L Payne Vice President 27, MERIDIAN, ID 83617 2024-05-06 2024-05-06

National Provider Identifier

NPI Number:
1598115644

Authorized Person:

Name:
WARREN R WILLIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2088879107

Filing

Filing Name Filing Number Filing date
Annual Report 0006229458 2025-05-03
Annual Report 0005725914 2024-05-06
Annual Report 0005217839 2023-05-03
Annual Report 0004725000 2022-05-03
Annual Report 0004308218 2021-06-07

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
37600.00
Total Face Value Of Loan:
37600.00
Date:
2020-04-17
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:
-1400.00
Total Face Value Of Loan:
37600.00

Paycheck Protection Program

Date Approved:
2021-01-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
37600
Current Approval Amount:
37600
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
37878.14
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
39000
Current Approval Amount:
37600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
37836.93

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State