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Batesville Smile, PLLC

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Company Details

Name: Batesville Smile, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 06 Jun 2022 (3 years ago)
Business ID: 1343672
ZIP code: 38652
County: Union
State of Incorporation: MISSISSIPPI
Principal Office Address: 730 Coulter DriveNew Albany, MS 38652
Fictitious names: Lakewood Dental

Agent

Name Role Address
Kevin Rowan Agent 730 Coulter Drive, New Albany, MS 38652

Organizer

Name Role Address
Joshua Sage Organizer 402 Enterprise Drive, Oxford, MS 38655

Manager

Name Role Address
Brett Hildenbrand Manager 730 Coulter Drive, New Albany, MS 38652

National Provider Identifier

NPI Number:
1518691930
Certification Date:
2022-07-12

Authorized Person:

Name:
DR. KEVIN ROWAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For Batesville Smile, PLLC
Annual Report LLC Filed 2024-03-21 Annual Report For Batesville Smile, PLLC
Annual Report LLC Filed 2023-04-13 Annual Report For Batesville Smile, PLLC
Fictitious Name Registration Filed 2022-09-20 Fictitious Name Registration For Batesville Smile, PLLC
Formation Form Filed 2022-06-06 Formation For Batesville Smile, PLLC

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Date of last update: 17 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website