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Humphreys Family Dental, L.L.C.

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Company Details

Name: Humphreys Family Dental, L.L.C.
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 20 Sep 2006 (19 years ago)
Business ID: 899228
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 16 OFFICE PARK DRIVE, SUITE 1HATTIESBURG, MS 39402

Agent

Name Role Address
Humphreys, Michael Chandler Agent 48 Longstone Road, Hattiesburg, MS 39402

Member

Name Role Address
Michael Chandler Humphreys Member 48 Longstone Road, Hattiesburg, MS 39402
Michael Humphreys Member 48 LONGSTONE ROAD, HATTIESBURG, MS 39402

President

Name Role Address
C Humphreys Michael President 48 LONGSTONE ROAD, HATTIESBURG, MS 39402

Secretary

Name Role Address
Tammy Lowry Secretary 82 WESTSHORE, HATTIESBURG, MS 39402

National Provider Identifier

NPI Number:
1265615181

Authorized Person:

Name:
DR. MICHAEL C. HUMPHREYS
Role:
OWNER/DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
6014503370

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2012-12-07 Admin Dissolution
Notice to Dissolve/Revoke Filed 2012-09-14 Notice to Dissolve/Revoke
Annual Report LLC Filed 2011-04-14 Annual Report LLC
Formation Form Filed 2006-09-20 Formation

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Date of last update: 06 May 2025

Sources: Company Profile on Mississippi Secretary of State Website