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EAGLE SMILES DENTISTRY AND ORTHODONTICS, PC

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Company Details

Name: EAGLE SMILES DENTISTRY AND ORTHODONTICS, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Nov 2016 (9 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 629535
Place of Formation: OREGON
File Number: 629535
Mailing Address: TAMMY RODRIGUEZ 17000 RED HILL AVE IRVINE, CA 92614-5626

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

President

Name Role Address Appointed On
Scott R. Thompson President 17000 RED HILL AVE, IRVINE, CA 92614-5626 2020-11-20

Director

Name Role Address Appointed On Resigned On
Scott R. Thompson Director 17000 RED HILL AVE, IRVINE, CA 92614-5626 2023-10-20 2023-10-20

Treasurer

Name Role Address Appointed On Resigned On
Scott R. Thompson Treasurer 17000 RED HILL AVE, IRVINE, CA 92614-5626 2023-10-20 2023-10-20

Secretary

Name Role Address Appointed On Resigned On
Stephen E Thorne IV Secretary 17000 RED HILL AVE., IRVINE, CA 92614 2023-10-20 2023-10-20

National Provider Identifier

NPI Number:
1659619609

Authorized Person:

Name:
DR. DANIEL B HOWARD
Role:
OWNER DOCTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7145086400
Fax:
2088958556

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006267137 2025-05-27
Annual Report 0005965639 2024-11-05
Annual Report 0005445918 2023-10-20
Registered Agent Name/Address Change (mass change) 0005296302 2023-06-29
Registered Agent Name/Address Change (mass change) 0005005667 2022-12-02

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$73,902
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,902
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$70,499.36
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $73,902

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State