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Hattiesburg Road Dental, P.C.

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Company Details

Name: Hattiesburg Road Dental, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 09 Jul 2007 (18 years ago)
Business ID: 915408
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 3720 Hardy Street, Suite 23Hattiesburg, MS 39402
Fictitious names: Sunnybrook Dentistry & Braces
Historical names: KS2 MS, PC
Sunnybrook Dentistry & Braces

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232

Incorporator

Name Role Address
Mayfield, Dale G Incorporator 225 Highgrove Drive, Fayetteville, GA 30215

President

Name Role Address
Dale G. Mayfield DMD President 3720 Hardy Street, Suite 23, Hattiesburg, MS 39402-1550

Secretary

Name Role Address
Dale G. Mayfield DMD Secretary 3720 Hardy Street, Suite 23, Hattiesburg, MS 39402-1550

Treasurer

Name Role Address
Dale G. Mayfield DMD Treasurer 3720 Hardy Street, Suite 23, Hattiesburg, MS 39402-1550

Director

Name Role Address
Dale G. Mayfield DMD Director 3720 Hardy Street, Suite 23, Hattiesburg, MS 39402-1550

National Provider Identifier

NPI Number:
1023241767

Authorized Person:

Name:
DR. DALE G MAYFIELD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
6782477858

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-13 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2024-02-22 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2023-01-31 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2022-04-11 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2021-03-29 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2020-03-31 Annual Report For Hattiesburg Road Dental, P.C.
Annual Report Filed 2019-04-01 Annual Report For Hattiesburg Road Dental, P.C.
Fictitious Name Registration Filed 2019-03-26 Fictitious Name Registration For Hattiesburg Road Dental, P.C.
Amendment Form Filed 2019-03-25 Amendment For KS2 MS, PC
Annual Report Filed 2018-04-02 Annual Report For KS2 MS, PC

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Date of last update: 26 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website