MICHAEL JENSEN, DMD, PC

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Company Details

Legal Name:	MICHAEL JENSEN, DMD, PC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	January 21st 2005
Expiration date:	31 Jan 2026
UBI Number:	602 465 344
ZIP code:	98683
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	406 SE 131ST AVE, STE 202, VANCOUVER, WA, 98683-4013, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$23,225

Contact Details

E-Mail:	DRMIKE@MILLPLAINDC.COM
Phone Number:	+1 360-253-9542

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
MICHAEL JENSEN	Registered Agent	406 SE 131ST AVE STE 202, VANCOUVER, WA, 98683-4013, UNITED STATES

Key Officers & Management

Name	Role	Address
MICHAEL JENSEN	Governing Person	406 SE 131 AVE, SUITE 202, VANCOUVER, WA, 98683, UNITED STATES
JOHN HEALD	INCORPORATOR	805 SW BROADWAY STE 1560, PORTLAND, OR, 97205, UNITED STATES

National Provider Identifier

NPI Number:

1720553993

Link:

View on NPI website

Authorized Person:

Name:

DR. MICHAEL KENNETH JENSEN

Role:

PRESIDENT/OWNEER

Phone:

3602539542

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-253-9542

Fax:

3602539589

Form 5500 Series

Employer Identification Number (EIN):

202214987

Plan Year:

2023

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's DBA Name:

MILL PLAIN DENTAL CENTER

Sponsor's telephone number:

3602539542

File:

Plan Administrator / Signatory:

MICHAEL JENSEN(Plan administrator)

Plan Year:

2022

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's DBA Name:

MILL PLAIN DENTAL CENTER

Sponsor's telephone number:

3602539542

File:

Plan Administrator / Signatory:

MICHAEL JENSEN(Plan administrator)

Plan Year:

2021

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's DBA Name:

MILL PLAIN DENTAL CENTER

Sponsor's telephone number:

3602539542

File:

Plan Administrator / Signatory:

MICHAEL JENSEN(Plan administrator)

Plan Year:

2020

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's DBA Name:

MILL PLAIN DENTAL CENTER

Sponsor's telephone number:

3602539542

File:

Plan Administrator / Signatory:

MICHAEL JENSEN(Plan administrator)

Plan Year:

2019

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's DBA Name:

MILL PLAIN DENTAL CENTER

Sponsor's telephone number:

3602539542

File:

Plan Administrator / Signatory:

MICHAEL JENSEN(Plan administrator)

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$101,500

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$101,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$102,495.53

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $101,500

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