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PINE BELT PERIODONTICS, PLLC

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Company Details

Name: PINE BELT PERIODONTICS, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 16 May 2003 (22 years ago)
Business ID: 733790
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 9 Medical BlvdHattiesburg, MS 39401

Agent

Name Role Address
Cogency Global Inc. Agent 248 E CAPITOL STREET, SUITE 840, JACKSON, MS 39201

Member

Name Role Address
Brian A Pitfield Member 9 MEDICAL BLVD, HATTIESBURG, MS 39401
BRIAN A PITFIELD DDS MS Member 6071 HWY 49 SOUTH #206, HATTIESBURG, MS 39401

President

Name Role Address
Kyle Hollis President 43 Ford Way, Richmond Hill, GA 31324

National Provider Identifier

NPI Number:
1275681967

Authorized Person:

Name:
DR. BRIAN ALEXANDER PITFIELD
Role:
PERIODONTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fax:
6012642410

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2024-02-01 Annual Report For PINE BELT PERIODONTICS, PLLC
Amendment Form Filed 2023-08-02 Amendment For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2023-04-15 Annual Report For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2022-02-04 Annual Report For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2021-09-24 Annual Report For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2021-01-21 Annual Report For PINE BELT PERIODONTICS, PLLC
Annual Report LLC Filed 2020-11-19 Annual Report For PINE BELT PERIODONTICS, PLLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-04-14 Annual Report For PINE BELT PERIODONTICS, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
66885.75
Total Face Value Of Loan:
66885.75

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website