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Farese Family Dental, Inc.

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Company Details

Name: Farese Family Dental, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 19 May 2004 (21 years ago)
Business ID: 855675
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 2212 W. Jackson Ave.Oxford, MS 38655

Agent

Name Role Address
Farese, John Booth Agent 122 Church Street;Post Office Box 98, Ashland, MS 38603

Incorporator

Name Role Address
Jason Farese Incorporator 2212 W Jackson Avenue, Oxford, MS 38655
Lea Farese Incorporator 2212 W Jackson Avenue, Oxford, MS 38655

Director

Name Role Address
Jason Farese, Dmd Director 3848 Majestic Oaks Dr., Oxford, MS 38655
Lea Farese Director 3848 Majestic Oaks Dr., Oxford, MS 38655

President

Name Role Address
Jason Farese, Dmd President 3848 Majestic Oaks Dr., Oxford, MS 38655

Secretary

Name Role Address
Lea Farese Secretary 3848 Majestic Oaks Dr., Oxford, MS 38655

National Provider Identifier

NPI Number:
1932321007

Authorized Person:

Name:
LEA M FARESE
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
201128446
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-04-20 Annual Report For Farese Family Dental, Inc.
Annual Report Filed 2015-12-07 Annual Report For Farese Family Dental, Inc.
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report Filed 2014-03-31 Annual Report
Annual Report Filed 2013-07-29 Annual Report
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report Filed 2012-07-30 Annual Report
Annual Report Filed 2011-03-28 Annual Report

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Date of last update: 01 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website