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Pontotoc Family Dental, PLLC

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Company Details

Name: Pontotoc Family Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 25 Oct 2017 (8 years ago)
Business ID: 1130984
ZIP code: 38863
County: Pontotoc
State of Incorporation: MISSISSIPPI
Principal Office Address: 29 Maggie Dr.Pontotoc, MS 38863

Agent

Name Role Address
Terry Lake Garner Agent 98 Waterford Drive, Hattiesburg, MS 39402

Manager

Name Role Address
Terry Lake Garner Manager 98 Waterford Drive, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1164941936

Authorized Person:

Name:
PATTY TOUPS
Role:
CEO
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 Pontotoc Family Dental, PLLC
Formation Form Filed 2017-10-25 Formation For Pontotoc Family Dental, PLLC

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Date of last update: 19 May 2025

Sources: Company Profile on Mississippi Secretary of State Website