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Magnolia Family Dental, PLLC

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Company Details

Name: Magnolia Family Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Feb 2025 (6 months ago)
Business ID: 1477745
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Ashley E Saulsberry MD Agent 6469 Crumpler Blvd, Olive Branch, MS 38654

Organizer

Name Role Address
Willie Obadiah Lyons Esq Organizer 5260 ELMORE RD, SOUTHAVEN, MS 38671

National Provider Identifier

NPI Number:
1225839954
Certification Date:
2025-03-19

Authorized Person:

Name:
DR. ASHLEY ELIZABETH SAULSBERRY
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2025-02-24 Formation For Magnolia Family Dental, PLLC

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Date of last update: 03 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website