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MATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC

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Company Details

Name: MATTESON IMPLANT AND RECONSTRUCTIVE DENTISTRY PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Jul 2017 (8 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 631942
Place of Formation: IDAHO
File Number: 631942
ZIP code: 83814
County: Kootenai County
Mailing Address: JULIANNE MATTESON 801 W MILWAUKEE DR COEUR D ALENE, ID 83814-2236

Agent

Name Role Address
ALVIN BRETT MATTESON Agent 801 MILWAUKEE DR, COEUR D'ALENE, ID 83814

President

Name Role Address Appointed On Resigned On
Alvin Brett Matteson President 801 MILWAUKEE DRIVE, COEUR D'ALENE, ID 83814 2021-10-24 No data
Alvin B Matteson President 12579 N AVONDALE LOOP, HAYDEN, ID 83835 2022-10-13 2021-10-24

National Provider Identifier

NPI Number:
1679096523

Authorized Person:

Name:
DR. ALVIN BRETT MATTESON
Role:
OWNER/ PROSTHODONTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
1223P0700X - Prosthodontist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005909328 2024-09-23
Application for Reinstatement 0005432840 2023-10-05
Dissolution/Revocation - Administrative 0005428660 2023-10-04
Dissolution/Revocation - Administrative 0004951626 2022-10-13
Application for Reinstatement 0004952424 2022-10-13

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:
38400.00
Total Face Value Of Loan:
38400.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
38400
Current Approval Amount:
38400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
38826.67

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State