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JOHN B. SMITH, JR., D.M.D., P.A.

JOHN B. SMITH, JR., D.M.D., P.A.

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Company Details

Name:	JOHN B. SMITH, JR., D.M.D., P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Dissolved
Effective Date:	30 Mar 1992 (33 years ago)
Business ID:	664296
ZIP code:	39074
County:	Scott
State of Incorporation:	MISSISSIPPI
Principal Office Address:	1040 HIGHWAY 35 SOUTHFOREST, MS 39074

Agent

Name	Role	Address
MARVIN B SPEED	Agent	2101 Fifth Street, Meridian, MS 39301

Incorporator

Name	Role	Address
John B Smith Jr	Incorporator	410 East First St, Forest, MS 39074

Director

Name	Role	Address
John B. Smith, Jr.	Director	1040 Highway 35 South, Forest, MS 39074
Diane N. Smith	Director	1040 Highway 35 South, Forest, MS 39074
Tyler N. Smith	Director	1040 Highway 35 South, Forest, MS 39074
Thomas B. Smith	Director	1040 Highway 35 South, Forest, MS 39074

President

Name	Role	Address
John B. Smith, Jr.	President	1040 Highway 35 South, Forest, MS 39074

Secretary

Name	Role	Address
Diane N. Smith	Secretary	1040 Highway 35 South, Forest, MS 39074

Vice President

Name	Role	Address
Diane N. Smith	Vice President	1040 Highway 35 South, Forest, MS 39074

Treasurer

Name	Role	Address
John B. Smith, Jr.	Treasurer	1040 Highway 35 South, Forest, MS 39074

National Provider Identifier

NPI Number:

1215067293

Link:

View on NPI website

Authorized Person:

Name:

DR. JOHN B SMITH

Role:

OWNER

Phone:

6014693851

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 601-469-3851

Fax:

6014694356

Filings

Type	Status	Filed Date	Description
Dissolution	Filed	2015-10-20	Dissolution For JOHN B. SMITH, JR., D.M.D., P.A.
Annual Report	Filed	2015-10-05	Annual Report For JOHN B. SMITH, JR., D.M.D., P.A.
Notice to Dissolve/Revoke	Filed	2015-09-16	Notice to Dissolve/Revoke
Annual Report	Filed	2014-04-08	Annual Report
Annual Report	Filed	2013-07-26	Annual Report
Notice to Dissolve/Revoke	Filed	2013-07-01	Notice to Dissolve/Revoke
Amendment Form	Filed	2013-06-21	Amendment
Annual Report	Filed	2012-09-07	Annual Report
Annual Report	Filed	2011-04-27	Annual Report
Annual Report	Filed	2010-08-23	Annual Report

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Date of last update: 22 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website