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Lifetime Dental, PLLC

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Company Details

Name: Lifetime Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 15 Aug 2016 (9 years ago)
Business ID: 1099143
ZIP code: 38732
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 1313 HIGHWAY 8 WEST, 1313 HIGHWAY 8 WESTCLEVELAND, MS 38732

Agent

Name Role Address
Hamilton Brown Agent 1313 HIGHWAY 8 WEST, CLEVELAND, MS 38732

Manager

Name Role Address
Hamilton M Brown LLC Manager 1313 W Highway 8, CLEVELAND, MS 38732
Ashley G. Peyton, D.M.D., P.C. Manager 1313 W Highway 8, CLEVELAND, MS 38732

Member

Name Role Address
Hamilton M Brown LLC Member 1313 W Highway 8, CLEVELAND, MS 38732
Ashley G. Peyton, D.M.D., P.C. Member 1313 W Highway 8, CLEVELAND, MS 38732

National Provider Identifier

NPI Number:
1679024442

Authorized Person:

Name:
DARYL LANCE JOHNSON
Role:
SOLE PROPRIETOR
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
6628438363

Form 5500 Series

Employer Identification Number (EIN):
813603289
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
26
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-20 Annual Report For Lifetime Dental, PLLC
Annual Report LLC Filed 2024-02-17 Annual Report For Lifetime Dental, PLLC
Annual Report LLC Filed 2023-03-08 Annual Report For Lifetime Dental, PLLC
Annual Report LLC Filed 2022-03-08 Annual Report For Lifetime Dental, PLLC
Amendment Form Filed 2022-03-08 Amendment For Lifetime Dental, PLLC
Annual Report LLC Filed 2021-02-02 Annual Report For Lifetime Dental, PLLC
Annual Report LLC Filed 2020-08-05 Annual Report For Lifetime Dental, PLLC
Annual Report LLC Filed 2019-09-16 Annual Report For Lifetime Dental, PLLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-10-08 Annual Report For Lifetime Dental, PLLC

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
171000.00
Total Face Value Of Loan:
171000.00
Date:
2020-06-02
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:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-15
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:
-140000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
171000.00
Total Face Value Of Loan:
171000.00
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
171000
Current Approval Amount:
171000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
171963.56
Date Approved:
2021-01-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
171000
Current Approval Amount:
171000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
171965.1

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Date of last update: 04 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website