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CANTON COMMUNITY DENTAL CLINIC, LLC

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Company Details

Name: CANTON COMMUNITY DENTAL CLINIC, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 Jan 2004 (22 years ago)
Business ID: 744016
ZIP code: 39046
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 512 West Fulton StreetCanton, MS 39046

Agent

Name Role Address
TIMOTHY T JOHNSON DDS Agent 512 WEST FULTON ST, CANTON, MS 39046-512

Manager

Name Role Address
Timothy T Johnson Manager 512 WEST FULTON ST, CANTON, MS 39046
Lisa Johnson Manager 512 West Fulton ST, Canton, MS 39046

Member

Name Role Address
TIMOTHY T JOHNSON Member 512 WEST FULTON ST, CANTON, MS 39046-512

National Provider Identifier

NPI Number:
1568567477

Authorized Person:

Name:
DR. TIMOTHY TERELL JOHNSON
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
6018552833

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-25 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2023-01-23 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2022-04-07 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2021-01-28 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2020-01-27 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2019-03-04 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2018-03-21 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2017-03-13 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2016-02-10 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC
Annual Report LLC Filed 2015-03-26 Annual Report For CANTON COMMUNITY DENTAL CLINIC, LLC

USAspending Awards / Financial Assistance

Date:
2021-01-25
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:
17708.00
Total Face Value Of Loan:
17708.00
Date:
2020-05-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
90800.00
Total Face Value Of Loan:
90800.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
15000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
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:
17825.00
Total Face Value Of Loan:
17825.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$17,708
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$17,708
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$17,834.14
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $17,707
Utilities: $1
Jobs Reported:
2
Initial Approval Amount:
$17,825
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$17,825
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$17,959.68
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $17,825

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website