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SOUTH TACOMA DENTAL, LLC

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Company Details

Legal Name: SOUTH TACOMA DENTAL, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 14th 2012
Date of Dissolution: February 3rd 2025
Expiration date: 30 Sep 2024
UBI Number: 603 238 269
ZIP code: 98444
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 223 140TH ST. S STE 800, TACOMA, WA, 98444, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $117

Contact Details

E-Mail: CDSTACOMA@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MATTHEW NUTTALL Registered Agent 223 140TH ST S #800, TACOMA, WA, 98444-0000, UNITED STATES

Key Officers & Management

Name Role
MATTHEW NUTTALL Governing Person
BRANDON TURLEY Governing Person

National Provider Identifier

NPI Number:
1396080032
Certification Date:
2023-02-21

Authorized Person:

Name:
MATTHEW NUTTALL
Role:
PARTNER/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2534723016

Form 5500 Series

Employer Identification Number (EIN):
461098422
Plan Year:
2024
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
FIDUCIARY ASSISTANCE(Plan administrator)
Plan Year:
2023
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
FIDUCIARY ASSISTANCE(Plan administrator)

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$46,200
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,708.2
Servicing Lender:
FirstBank
Use of Proceeds:
Payroll: $46,200
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