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Oral and Facial Surgery of Mississippi, PLLC

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Company Details

Name: Oral and Facial Surgery of Mississippi, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Jan 2000 (25 years ago)
Business ID: 681462
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 266 KATHERINE DR.FLOWOOD, MS 39232
Historical names: MAXILLOFACIAL SURGERY CENTER OF CENTRAL MISSISSIPPI, PLLC.

Member

Name Role Address
Michael R Nichols Member 266 KATHERINE DR., FLOWOOD, MS 39232

Agent

Name Role Address
R JAMES YOUNG Agent 300 Concourse Blvd. #200, Ridgeland, MS 39157

National Provider Identifier

NPI Number:
1851543250

Authorized Person:

Name:
DR. MICHAEL R NICHOLS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6014203054

Form 5500 Series

Employer Identification Number (EIN):
263545164
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-12 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2024-02-29 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2023-01-23 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2022-09-19 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2021-02-01 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2020-02-24 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2019-02-22 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2018-01-24 Annual Report For Oral and Facial Surgery of Mississippi, PLLC
Annual Report LLC Filed 2017-01-19 Annual Report For Oral and Facial Surgery of Mississippi, PLLC

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website