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CLEAR CREEK DENTISTRY, PLLC

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Company Details

Legal Name: CLEAR CREEK DENTISTRY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 10th 2008
Expiration date: 31 Jul 2026
UBI Number: 602 847 368
ZIP code: 98383
City: Silverdale
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2430 NW MYHRE RD STE 201, SILVERDALE, WA, 98383-7669, UNITED STATES

Contact Details

E-Mail: TAXESANDFILINGS@MB2DENTAL.COM
Phone Number: +1 360-692-6332

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
STEVEN HAWS Registered Agent 2430 NW MYHRE RD, SILVERDALE, WA, 98383-7669, UNITED STATES

Key Officers & Management

Name Role
STEVEM HAWS Governing Person
JUSTIN PUCKETT Governing Person

National Provider Identifier

NPI Number:
1598579898
Certification Date:
2025-02-05

Authorized Person:

Name:
JENNY GARCIA-ROCHA
Role:
SR CREDENTIALING TEAM LEAD
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
263006405
Plan Year:
2023
Number Of Participants:
22
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
22
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
23
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
25
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
25
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$232,965
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$232,965
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$235,469.37
Servicing Lender:
Kitsap Bank
Use of Proceeds:
Payroll: $232,965
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