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TETON OMS, PLLC

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Company Details

Name: TETON OMS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Sep 2002 (23 years ago)
Financial Date End: 30 Sep 2026
Entity Number: 76199
Place of Formation: IDAHO
File Number: 76199
ZIP code: 83440
County: Madison County
Principal Address: 360 E MAIN ST REXBURG, ID 83440
Mailing Address: 360 E MAIN ST REXBURG, ID 83440-2015

Agent

Name Role Address
BRYAN LEE Agent 360 E MAIN ST, REXBURG, ID 83440

Manager

Name Role Address Appointed On Resigned On
Bryan D Lee Manager 360 E MAIN ST, REXBURG, ID 83440 2023-10-04 2024-08-05
Bryan Lee Manager 360 E MAIN ST, REXBURG, ID 83440 2020-09-25 No data

National Provider Identifier

NPI Number:
1336036474
Certification Date:
2025-07-02

Authorized Person:

Name:
MAKELL CLAY
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary:
No
Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
Yes

Contacts:

Fax:
2089324601

Form 5500 Series

Employer Identification Number (EIN):
710900869
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006400764 2025-08-13
Annual Report 0005840889 2024-08-05
Annual Report 0005429165 2023-10-04
Annual Report 0004892957 2022-09-12
Annual Report 0004429477 2021-09-28

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
35600.00
Total Face Value Of Loan:
35600.00
Date:
2020-05-03
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:
35600.00
Total Face Value Of Loan:
35600.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$35,600
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$36,133.51
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $35,600

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Date of last update: 27 Aug 2025

Sources: Idaho Secretary of State