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FAMILY DENTAL CENTER OF WAYNESBORO, P. A.

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Company Details

Name: FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 15 Feb 1997 (28 years ago)
Business ID: 639021
ZIP code: 39367
County: Wayne
State of Incorporation: MISSISSIPPI
Principal Office Address: 500 COURT STREETWAYNESBORO, MS 39367

Incorporator

Name Role Address
William W Sumrall Incorporator PO Box 106, Laurel, MS 39441

Director

Name Role Address
Shelley S Taylor Director 500 Court Street, P O Box 247, Waynesboro, MS 39367
Mary Ousley Director 500 Court Street, PO Box 247, Waynesboro, MS 39367

Vice President

Name Role Address
Shelley S Taylor Vice President 500 Court Street, P O Box 247, Waynesboro, MS 39367
Mary Ousley Vice President 500 Court Street, PO Box 247, Waynesboro, MS 39367

Agent

Name Role Address
MARY OUSLEY Agent 500 COURT STREET, WAYNESBORO, MS 39367

National Provider Identifier

NPI Number:
1518076546

Authorized Person:

Name:
DR. DAVID L. RICE III
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6017350901

Filings

Type Status Filed Date Description
Amendment Form Filed 2025-01-14 Amendment For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2025-01-14 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2024-03-09 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2023-03-13 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2022-03-01 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2021-04-15 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2020-03-25 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2019-04-04 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2018-04-13 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.
Annual Report Filed 2017-04-12 Annual Report For FAMILY DENTAL CENTER OF WAYNESBORO, P. A.

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Date of last update: 01 May 2025

Sources: Company Profile on Mississippi Secretary of State Website