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KIMBERLY BLAIR SMITH, D.M.D., P.A.

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Company Details

Name: KIMBERLY BLAIR SMITH, D.M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 21 Jun 2001 (24 years ago)
Business ID: 703550
ZIP code: 39114
County: Simpson
State of Incorporation: MISSISSIPPI
Principal Office Address: 409 N MAIN STMENDENHALL, MS 39114

Agent

Name Role Address
KIMBERLY BLAIR SMITH Agent 409 N MAIN ST, MENDENHALL, MS 39114

Incorporator

Name Role Address
Kimberly Blair Smith Incorporator 238 James Berry Rd, Magee, MS 39111

Director

Name Role Address
Kimberly Blair Smith Director 238 James Berry Rd, Magee, MS 39111

President

Name Role Address
Kimberly Blair Smith President 238 James Berry Rd, Magee, MS 39111

Secretary

Name Role Address
Jason Smith Secretary 238 James Berry Rd, Magee, MS 39111

Treasurer

Name Role Address
Jason Smith Treasurer 238 James Berry Rd, Magee, MS 39111

Vice President

Name Role Address
Jason Smith Vice President 238 James Berry Rd, Magee, MS 39111

National Provider Identifier

NPI Number:
1891842332

Authorized Person:

Name:
KIMBERLY BLAIR SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6018479131

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-09 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2024-04-04 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2023-04-11 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2022-04-04 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2021-03-30 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2020-05-18 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2019-04-10 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2018-03-02 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2017-03-14 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.
Annual Report Filed 2016-03-25 Annual Report For KIMBERLY BLAIR SMITH, D.M.D., P.A.

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$46,100
Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,100
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$46,453.64
Servicing Lender:
Peoples Bank
Use of Proceeds:
Payroll: $46,100
Jobs Reported:
8
Initial Approval Amount:
$45,743
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,743
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$46,194.16
Servicing Lender:
Peoples Bank
Use of Proceeds:
Payroll: $45,740
Utilities: $1

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Date of last update: 23 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website