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Park Dental Group - Pascagoula, PLLC

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Company Details

Name: Park Dental Group - Pascagoula, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 30 Sep 2021 (4 years ago)
Business ID: 1305749
ZIP code: 39751
County: Webster
State of Incorporation: MISSISSIPPI
Principal Office Address: 386 Ellison RdMantee, MS 39751

Agent

Name Role Address
Young C. Park, DMD Agent 105 Ridge Way, Ste. #3, Flowood, MS 39232

Member

Name Role Address
Young C. Park, DMD Member 105 Ridge Way, Ste. #3, Flowood, MS 39232

National Provider Identifier

NPI Number:
1730843921
Certification Date:
2023-06-15

Authorized Person:

Name:
YOUNG CHAN PARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Park Dental Group - Pascagoula, PLLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Park Dental Group - Pascagoula, PLLC
Annual Report LLC Filed 2023-04-10 Annual Report For Park Dental Group - Pascagoula, PLLC
Annual Report LLC Filed 2022-03-30 Annual Report For Park Dental Group - Pascagoula, PLLC
Formation Form Filed 2021-09-30 Formation For Park Dental Group - Pascagoula, PLLC

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Date of last update: 27 May 2025

Sources: Company Profile on Mississippi Secretary of State Website