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Water Valley Dental, PLLC

Company Details

Name: Water Valley Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Sep 2023 (2 years ago)
Business ID: 1411739
ZIP code: 38965
County: Yalobusha
State of Incorporation: MISSISSIPPI
Principal Office Address: 605 N. Main Street Water Valley, MS 38965

Agent

Name Role Address
Jeremy Blake Douglas Agent 829 N. Lamar Blvd., Ste. 1, Oxford, MS 38655

Member

Name Role Address
Robert Michael Abraham Jr Member 307 Garner Street, Oxford, MS 38655

National Provider Identifier

NPI Number:
1588444616
Certification Date:
2023-10-05

Authorized Person:

Name:
DR. ROBERT MICHAEL ABRAHAM JR.
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
6625100545

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For Water Valley Dental, PLLC
Annual Report LLC Filed 2024-10-08 Annual Report For Water Valley Dental, PLLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Water Valley Dental, PLLC
Amendment Form Filed 2024-08-22 Amendment For Water Valley Dental, PLLC
Formation Form Filed 2023-09-19 Formation For Water Valley Dental, PLLC

Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website