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Nettleton Dental LLC

Nettleton Dental LLC

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Company Details

Name:	Nettleton Dental LLC
Jurisdiction:	MISSISSIPPI
Business Type:	Limited Liability Company
Status:	Good Standing
Effective Date:	28 Jul 2022 (3 years ago)
Business ID:	1351008
ZIP code:	38858
County:	Monroe
State of Incorporation:	MISSISSIPPI
Principal Office Address:	228 MAIN STREETNETTLETON, MS 38858

Agent

Name	Role	Address
Ambrie Goodman	Agent	5031 Braemar Park Drive, Oxford, MS 38655

Member

Name	Role	Address
Ambrie Goodman	Member	5031 Braemar Park Drive, Oxford, MS 38655

National Provider Identifier

NPI Number:

1780303677

Certification Date:

2022-08-24

Link:

View on NPI website

Authorized Person:

Name:

DR. AMBRIE GOODMAN

Role:

DENTIST

Phone:

6625718760

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 662-963-7338

Filings

Type	Status	Filed Date	Description
Annual Report LLC	Filed	2025-02-08	Annual Report For Nettleton Dental LLC
Annual Report LLC	Filed	2024-04-08	Annual Report For Nettleton Dental LLC
Annual Report LLC	Filed	2023-03-30	Annual Report For Nettleton Dental LLC
Formation Form	Filed	2022-07-28	Formation For Nettleton Dental LLC

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Date of last update: 30 May 2025

Sources: Company Profile on Mississippi Secretary of State Website