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Vicksburg Family Dental 61N, PLLC

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Company Details

Name: Vicksburg Family Dental 61N, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 11 Apr 2016 (9 years ago)
Business ID: 1090385
ZIP code: 39183
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 1650 Highway 61 NorthVICKSBURG, MS 39183

Agent

Name Role Address
Cogency Global Inc. Agent 248 E CAPITOL STREET, SUITE 840, JACKSON, MS 39201

Manager

Name Role Address
T Lake Garner Manager 147 Waterford Place, Hattiesburg, MS 39401

National Provider Identifier

NPI Number:
1649626573

Authorized Person:

Name:
DR. TERRY LAKE GARNER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For Vicksburg Family Dental 61N, PLLC
Amendment Form Filed 2024-08-09 Amendment For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2024-02-14 Annual Report For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2024-01-23 Annual Report For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2023-08-21 Annual Report For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2022-09-19 Annual Report For Vicksburg Family Dental 61N, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2021-04-12 Annual Report For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2020-02-13 Annual Report For Vicksburg Family Dental 61N, PLLC
Annual Report LLC Filed 2019-03-21 Annual Report For Vicksburg Family Dental 61N, PLLC

USAspending Awards / Financial Assistance

Date:
2021-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
14490.00
Total Face Value Of Loan:
14490.00
Date:
2020-05-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
98500.00
Total Face Value Of Loan:
0.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
14998.00
Total Face Value Of Loan:
14998.00
Date:
2020-04-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14998
Current Approval Amount:
14998
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
15107.15
Date Approved:
2021-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14490
Current Approval Amount:
14490
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
14609.89

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website