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Mississippi Orofacial Pain, LLC

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Company Details

Name: Mississippi Orofacial Pain, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Jun 2019 (6 years ago)
Business ID: 1179775
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 108 South Maple Street, Suite CRidgeland, MS 39157

Agent

Name Role Address
Paul C. Riley Agent 216 Sycamore Lane, Madison, MS 39110

Member

Name Role Address
Paul C. Riley Member 216 Sycamore Lane, Madison, MS 39110

National Provider Identifier

NPI Number:
1639813454
Certification Date:
2023-12-28

Authorized Person:

Name:
PAUL COLEMAN RILEY
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223X2210X - Orofacial Pain Dentist
Is Primary:
Yes

Contacts:

Fax:
7695672556

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-26 Annual Report For Mississippi Orofacial Pain, LLC
Annual Report LLC Filed 2024-02-04 Annual Report For Mississippi Orofacial Pain, LLC
Annual Report LLC Filed 2023-02-04 Annual Report For Mississippi Orofacial Pain, LLC
Annual Report LLC Filed 2022-02-02 Annual Report For Mississippi Orofacial Pain, LLC
Annual Report LLC Filed 2021-04-07 Annual Report For Mississippi Orofacial Pain, LLC
Annual Report LLC Filed 2020-02-29 Annual Report For Mississippi Orofacial Pain, LLC
Formation Form Filed 2019-06-03 Formation For Mississippi Orofacial Pain, LLC

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website