Search icon

SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.

Company claim

Is this your business?

Get access!

Company Details

Name: SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 May 2000 (25 years ago)
Business ID: 686398
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 105 Broadmoore DriveMadison, MS 39110

Agent

Name Role Address
TODD A BOOLOS Agent 1007 Mission Park Drive, Vicksburg, MS 39180

Incorporator

Name Role Address
Robert R. Bailess Incorporator 1301 Washington Street, Vicksburg, MS 39180
Virginia Browning Incorporator 1301 Washington Street 8th Floor, Vicksburg, MS 39180

Director

Name Role Address
Kevin Keen Director 105 Broadmoore Drive, Madison, MS 39110

President

Name Role Address
Kevin Keen President 105 Broadmoore Drive, Madison, MS 39110

Secretary

Name Role Address
Kevin Keen Secretary 105 Broadmoore Drive, Madison, MS 39110

Treasurer

Name Role Address
Kevin Keen Treasurer 105 Broadmoore Drive, Madison, MS 39110

National Provider Identifier

NPI Number:
1073784880

Authorized Person:

Name:
DR. KEVIN KEITH KEEN
Role:
SURGEON/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
6016610367

Filings

Type Status Filed Date Description
Annual Report Filed 2025-03-11 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2024-02-12 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2023-02-01 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2022-01-19 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2021-02-24 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2020-02-05 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2019-02-05 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2018-02-07 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report Filed 2017-01-24 Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Reinstatement Filed 2016-04-22 Reinstatement For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$6,600
Date Approved:
2020-05-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$6,672.97
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $6,600

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website