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American Family Dentistry of Memphis, PC

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Company Details

Name: American Family Dentistry of Memphis, PC
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 15 May 2013 (12 years ago)
Business ID: 1021214
State of Incorporation: TENNESSEE
Principal Office Address: 1200 Network Centre Dr., Ste 2Effingham, IL 62401
Fictitious names: American Family Dentistry Olive Branch
Historical names: American Family Dentistry Southaven

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 109 Executive Drive, Suite 3, Madison, MS 39110

President

Name Role Address
Antarpreet Singh President 1200 Network Centre Dr., Ste 2, Effingham, IL 62401

Vice President

Name Role Address
Sean Fox Vice President 1200 Network Centre Dr., Ste 2, Effingham, IL 62401

Treasurer

Name Role Address
Nicholas Dennery Treasurer 1200 Network Centre Dr., Ste 2, Effingham, IL 62401

Secretary

Name Role Address
Nicholas Dennery Secretary 1200 Network Centre Dr., Ste 2, Effingham, IL 62401

National Provider Identifier

NPI Number:
1285395020
Certification Date:
2022-01-04

Authorized Person:

Name:
CELIA HAYES
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6622533021

Filings

Type Status Filed Date Description
Annual Report Filed 2025-03-24 Annual Report For American Family Dentistry of Memphis, PC
Annual Report Filed 2024-04-02 Annual Report For American Family Dentistry of Memphis, PC
Fictitious Name Withdrawal Filed 2023-08-03 Fictitious Name Withdrawal For American Family Dentistry of Memphis, PC
Annual Report Filed 2023-01-25 Annual Report For American Family Dentistry of Memphis, PC
Registered Agent Change of Address Filed 2022-03-31 Agent Address Change For CORPORATION SERVICE COMPANY
Annual Report Filed 2022-03-11 Annual Report For American Family Dentistry of Memphis, PC
Amendment Form Filed 2022-03-01 Amendment For American Family Dentistry of Memphis, PC
Fictitious Name Registration Filed 2022-02-16 Fictitious Name Registration For American Family Dentistry of Memphis, PC
Annual Report Filed 2021-04-05 Annual Report For American Family Dentistry of Memphis, PC
Annual Report Filed 2020-04-13 Annual Report For American Family Dentistry of Memphis, PC

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Date of last update: 02 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website