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CoastKids Pediatric Dentistry, PLLC

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Company Details

Name: CoastKids Pediatric Dentistry, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 08 Jul 2016 (9 years ago)
Business ID: 1096628
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1635 East Pass RoadGulfport, MS 39507

Agent

Name Role Address
Reggie Broom Agent 1635 East Pass Road, Gulfport, MS 39507

Member

Name Role Address
Stacey Carter Member 1635 East Pass Rd, Gulfport, MS 39507

National Provider Identifier

NPI Number:
1093262974

Authorized Person:

Name:
LANETTE L HENRY
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
813189949
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-06 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2024-01-14 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2023-01-04 Annual Report For CoastKids Pediatric Dentistry, PLLC
Agent Resignation Filed 2023-01-03 Agent Resignation For
Amendment Form Filed 2023-01-03 Amendment For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2022-01-26 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2021-03-19 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2020-02-12 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2019-02-23 Annual Report For CoastKids Pediatric Dentistry, PLLC
Annual Report LLC Filed 2018-03-18 Annual Report For CoastKids Pediatric Dentistry, PLLC

USAspending Awards / Financial Assistance

Date:
2021-02-10
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:
121627.50
Total Face Value Of Loan:
121627.50
Date:
2020-05-03
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:
121627.00
Total Face Value Of Loan:
121627.00

Paycheck Protection Program

Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
121627.5
Current Approval Amount:
121627.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
122401.19
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
121627
Current Approval Amount:
121627
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
122360.14

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website