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South Mississippi Oral Surgery & Implant Center, PLLC

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Company Details

Name: South Mississippi Oral Surgery & Implant Center, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 May 2023 (2 years ago)
Business ID: 1394564
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 112 Sheffield LoopHattiesburg, MS 39402

Manager

Name Role Address
Bennett V York Manager 1421 South 28th Avenue, Hattiesburg, MS 39402

Agent

Name Role Address
Bennett V York Agent 1421 South 28th Avenue, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1780466300
Certification Date:
2023-10-18

Authorized Person:

Name:
DR. BENNETT VAN YORK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
6012680693

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-28 Annual Report For South Mississippi Oral Surgery & Implant Center, PLLC
Annual Report LLC Filed 2024-03-21 Annual Report For South Mississippi Oral Surgery & Implant Center, PLLC
Correction Amendment Form Filed 2023-05-25 Correction For South Mississippi Oral Surgery & Implant Center, LLC
Formation Form Filed 2023-05-23 Formation For South Mississippi Oral Surgery & Implant Center, LLC

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Date of last update: 02 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website