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South Jackson Family Dental, PLLC

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Company Details

Name: South Jackson Family Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 07 Jul 2014 (11 years ago)
Business ID: 1044424
ZIP code: 39204
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 2189 Henry Hill Drive Ste AJackson, MS 39204

Agent

Name Role Address
Garner, T. Lake Agent 98 Waterford Place, Hattiesburg, MS 39402

Manager

Name Role Address
T. Lake Garner Manager 98 Waterford Place, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1821406570

Authorized Person:

Name:
DR. LAKE GARNER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-02-15 Annual Report For South Jackson Family Dental, PLLC
Amendment Form Filed 2017-03-28 Amendment For South Jackson Family Dental, PLLC
Annual Report LLC Filed 2017-03-06 Annual Report For South Jackson Family Dental, PLLC
Annual Report LLC Filed 2016-03-09 Annual Report For South Jackson Family Dental, PLLC
Annual Report LLC Filed 2015-04-08 Annual Report For South Jackson Family Dental, PLLC
Annual Report LLC Filed 2015-03-30 Annual Report For South Jackson Family Dental, PLLC
Formation Form Filed 2014-07-07 Formation

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Date of last update: 15 May 2025

Sources: Company Profile on Mississippi Secretary of State Website