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Nathan K. Beavers, D.M.D., PLLC

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Company Details

Name: Nathan K. Beavers, D.M.D., PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jun 2006 (19 years ago)
Business ID: 893127
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 312 Fountains DriveMADISON, MS 39110

Agent

Name Role Address
Simpkins, Monty Agent 240 Trace Colony Park Dr., Ste 200, Ridgeland, MS 39157

Member

Name Role Address
Nathan K Beavers Member 312 Fountains Drive, MADISON, MS 39110
Monty Simpkins Member P.O. Box 670, Madison, MS 39110

National Provider Identifier

NPI Number:
1003138967
Certification Date:
2021-10-19

Authorized Person:

Name:
DR. NATHAN BEAVERS
Role:
OWNER / DENTIST
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
205220169
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-18 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Amendment Form Filed 2023-09-15 Amendment For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2023-03-10 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2022-04-07 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2021-08-20 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2020-09-11 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-03-26 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2018-04-17 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2017-10-02 Annual Report For Nathan K. Beavers, D.M.D., PLLC

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$76,300
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$76,940.07
Servicing Lender:
BankFirst Financial Services
Use of Proceeds:
Payroll: $76,298
Utilities: $1
Jobs Reported:
9
Initial Approval Amount:
$76,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$77,056.64
Servicing Lender:
BankFirst Financial Services
Use of Proceeds:
Payroll: $76,300

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Date of last update: 25 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website