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Decatur Dental, LLC

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Company Details

Name: Decatur Dental, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 24 Sep 2015 (10 years ago)
Business ID: 1076526
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Jim Polles Agent 68 Fourth Avenue, Decatur, MS 39327

Manager

Name Role Address
Jim Polles Manager 68 Fourth Avenue, Decatur, MS 39327

National Provider Identifier

NPI Number:
1073985925

Authorized Person:

Name:
JIM H POLLES
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6013623113

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Formation Form Filed 2015-09-24 Formation For Decatur Dental, LLC

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website