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Madison Dental Group, PLLC

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Company Details

Name: Madison Dental Group, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 24 Feb 2004 (21 years ago)
Business ID: 851824
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 7731 Old Canton Road, Suite AMADISON, MS 39110
Historical names: Cole Fortenberry, DMD, PLLC

Agent

Name Role Address
Fortenberry, William Coleman Agent 7731 Old Canton Road, Suite A, Madison, MS 39110

Member

Name Role Address
William C Fortenberry Member 7731 Old Canton Road, Suite A, MADISON, MS 39110

National Provider Identifier

NPI Number:
1760106199
Certification Date:
2022-09-29

Authorized Person:

Name:
WILLIAM COLEMAN FORTENBERRY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6018533598

Form 5500 Series

Employer Identification Number (EIN):
901113089
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-01 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2024-03-22 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2023-03-09 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2022-03-21 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2021-03-05 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2020-02-20 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2019-03-18 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2018-03-01 Annual Report For Madison Dental Group, PLLC
Annual Report LLC Filed 2017-02-10 Annual Report For Madison Dental Group, PLLC
Amendment Form Filed 2016-04-12 Amendment For Cole Fortenberry, DMD, PLLC

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
118600.00
Total Face Value Of Loan:
118600.00
Date:
2020-04-28
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:
95900.00
Total Face Value Of Loan:
95900.00

Paycheck Protection Program

Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
118600
Current Approval Amount:
118600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
119328.07
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
95900
Current Approval Amount:
95900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
96376.84

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website