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Magnolia Smiles of Purvis, LLC

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Company Details

Name: Magnolia Smiles of Purvis, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Mar 2025 (5 months ago)
Business ID: 1479704
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Oscar Randolph Jones Agent 103 Shelby Speights Drive, Purvis, MS 39475

Manager

Name Role Address
Oscar Randolph Jones Manager 103 Shelby Speights Drive, Purvis, MS 39475

National Provider Identifier

NPI Number:
1700677416
Certification Date:
2025-05-28

Authorized Person:

Name:
DR. OSCAR RANDOLPH JONES
Role:
DENTIST/PARTNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-07 Formation For Magnolia Smiles of Purvis, LLC

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Date of last update: 21 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website