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POPLARVILLE DENTAL CLINIC LLC

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Company Details

Name: POPLARVILLE DENTAL CLINIC LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Jan 2004 (21 years ago)
Business ID: 743360
State of Incorporation: MISSISSIPPI

Member

Name Role Address
DUSTIN G SMITH Member 1718 SOUTH MAIN, POPLARVILLE, MS 39470
Dustin Smith Member PO BOX 73, POPLARVILLE, MS 39470

Agent

Name Role Address
DUSTIN G SMITH Agent 171 SOUTH MAIN, P O BOX 73, POPLARVILLE, MS 39470

National Provider Identifier

NPI Number:
1306142674

Authorized Person:

Name:
DR. DUSTIN GABRIEL SMITH
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
6017950745

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-04-07 Annual Report LLC
Annual Report LLC Filed 2013-04-12 Annual Report LLC
Annual Report LLC Filed 2012-04-12 Annual Report LLC
Annual Report LLC Filed 2011-05-13 Annual Report LLC
Name Reservation Form Filed 2003-12-19 Name Reservation

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website