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Humphreys Dental, LLC

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Company Details

Name: Humphreys Dental, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 18 Aug 2009 (16 years ago)
Business ID: 953869
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Humphreys, Michael Chandler Agent 444 Shelby Speights Drive, Purvis, MS 39475

Member

Name Role Address
Jeff C. Bowman Member 309 S. 40th Ave.PO Box 15517 (39403-5517), Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1104151265

Authorized Person:

Name:
DR. MICHAEL CHANDLER HUMPHREYS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6017948115

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2009-08-18 Formation

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Date of last update: 27 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website