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NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC

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Company Details

Name: NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Nov 2001 (24 years ago)
Business ID: 709133
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1420 North Lamar Blvd.Oxford, MS 38655
Historical names: NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC

Agent

Name Role Address
CLYDE MUSGRAVE Agent 129 HERITAGE DR, OXFORD, MS 38655

Manager

Name Role Address
Clyde Musgrave Manager P O BOX 1237, OXFORD, MS 38655

Member

Name Role Address
KURT G. RADEMACHER Member 210 E CAPITOL STREET, JACKSON, MS 39225

National Provider Identifier

NPI Number:
1578658373
Certification Date:
2022-05-23

Authorized Person:

Name:
DR. CLYDE ARMSTRONG MUSGRAVE
Role:
PEDIATRIC DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
6628937881

Form 5500 Series

Employer Identification Number (EIN):
943418981
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-27 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC
Amendment Form Filed 2024-02-16 Amendment For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2023-02-27 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2022-03-29 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2021-02-08 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2020-02-26 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2019-02-21 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2018-03-07 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2017-02-22 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2016-01-22 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC

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Date of last update: 04 May 2025

Sources: Company Profile on Mississippi Secretary of State Website