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Madison Pediatric Dental Group, PLLC

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Company Details

Name: Madison Pediatric Dental Group, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 14 Nov 2003 (22 years ago)
Business ID: 741913
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 7728 Old Canton RoadMADISON, MS 39110
Historical names: GAYLE M. WATTERS D.M.D., P.L.L.C.

Agent

Name Role Address
Gayle Watters Agent 7728 Old Canton Road, Madison, MS 39110

Member

Name Role Address
Gayle Watters Member 7728 Old Canton Rd, Madison, MS 39110
Amy Jones Member 7728 Old Canton Road, Madison, MS 39110

National Provider Identifier

NPI Number:
1669795241

Authorized Person:

Name:
DR. AMY GRAHAM JONES
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6018561011

Form 5500 Series

Employer Identification Number (EIN):
830374846
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
17
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-01 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2024-01-27 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2023-01-28 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2022-01-29 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2021-11-15 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2021-01-23 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2020-02-01 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2019-02-02 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2018-02-03 Annual Report For Madison Pediatric Dental Group, PLLC
Annual Report LLC Filed 2017-01-26 Annual Report For Madison Pediatric Dental Group, PLLC

USAspending Awards / Financial Assistance

Date:
2021-03-05
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:
110730.00
Total Face Value Of Loan:
110730.00
Date:
2020-04-15
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:
111400.00
Total Face Value Of Loan:
111400.00

Paycheck Protection Program

Date Approved:
2021-03-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
110730
Current Approval Amount:
110730
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
111160.62
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
111400
Current Approval Amount:
111400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
112461.39

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website