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MERIDIAN DENTAL, PLLC

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Company Details

Name: MERIDIAN DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Nov 2001 (24 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 65201
Place of Formation: IDAHO
File Number: 65201
ZIP code: 83642
County: Ada County
Principal Address: 780 W CHERRY LN MERIDIAN, ID 83642
Mailing Address: 780 W CHERRY LN MERIDIAN, ID 83642-1617

Agent

Name Role Address
Andrew A Reed Agent 780 W CHERRY LN, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Andrew A Reed Manager 780 W CHERRY LANE, MERIDIAN, ID 83642 2021-02-23

National Provider Identifier

NPI Number:
1295741957

Authorized Person:

Name:
MS. ALLYSON KOUSKY
Role:
INSURANCE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088880308

Filing

Filing Name Filing Number Filing date
Annual Report 0005920203 2024-10-03
Annual Report 0005429451 2023-10-04
Annual Report 0005011659 2022-12-05
Annual Report 0004478476 2021-11-03
Application for Reinstatement 0004181144 2021-02-23

USAspending Awards / Financial Assistance

Date:
2009-12-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
240000.00
Total Face Value Of Loan:
240000.00

Paycheck Protection Program

Jobs Reported:
27
Initial Approval Amount:
$269,229
Date Approved:
2021-03-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$269,229
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$271,694.57
Servicing Lender:
A10Capital, LLC
Use of Proceeds:
Payroll: $269,229
Jobs Reported:
27
Initial Approval Amount:
$204,630
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$204,630
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$206,395.98
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $204,630

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Date of last update: 30 Jul 2025

Sources: Idaho Secretary of State