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Dental Group of Greenville, PLLC

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Company Details

Name: Dental Group of Greenville, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 26 Dec 2019 (5 years ago)
Business ID: 1196735
ZIP code: 38701
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 637 Rayner RoadGreenville, MS 38701

Agent

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

Organizer

Name Role Address
Sam Craft Organizer 4358 Lincoln Rd Ext, Suite 20, Hattiesburg, MS 39402

Manager

Name Role Address
T Lake Garner Manager 147 Waterford Dr., Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1871109611
Certification Date:
2020-09-17

Authorized Person:

Name:
KELLY MILLER
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-30 Annual Report For Dental Group of Greenville, PLLC
Amendment Form Filed 2024-08-09 Amendment For Dental Group of Greenville, PLLC
Annual Report LLC Filed 2024-01-23 Annual Report For Dental Group of Greenville, PLLC
Annual Report LLC Filed 2023-07-25 Annual Report For Dental Group of Greenville, PLLC
Annual Report LLC Filed 2022-09-19 Annual Report For Dental Group of Greenville, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Dental Group of Greenville, PLLC
Annual Report LLC Filed 2021-04-12 Annual Report For Dental Group of Greenville, PLLC
Annual Report LLC Filed 2020-02-13 Annual Report For Dental Group of Greenville, PLLC
Formation Form Filed 2019-12-26 Formation For Dental Group of Greenville, PLLC

USAspending Awards / Financial Assistance

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:
76200.00
Total Face Value Of Loan:
0.00
Date:
2020-04-22
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
Date:
2020-04-13
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:
93440.00
Total Face Value Of Loan:
93440.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93440
Current Approval Amount:
93440
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
94491.2

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Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website