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Pediatric Dental Group of Hattiesburg, PLLC

Pediatric Dental Group of Hattiesburg, PLLC

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Company Details

Name:	Pediatric Dental Group of Hattiesburg, PLLC
Jurisdiction:	MISSISSIPPI
Business Type:	Limited Liability Company
Status:	Good Standing
Effective Date:	05 Dec 2011 (14 years ago)
Business ID:	992534
ZIP code:	39402
County:	Lamar
State of Incorporation:	MISSISSIPPI
Principal Office Address:	6643 Hwy. 98, 6643 Hwy. 98Hattiesburg, MS 39402
Historical names:	Pediatric Dental Group of Hattiesburg DBA Middleton & Belknap Pediatric Dentistry, PLLC

Agent

Name	Role	Address
Middleton, Andrew	Agent	6643 Highway 98, Hattiesburg, MS 39402

Member

Name	Role	Address
Charles L Belknap, D.M.D., PLLC	Member	6643 HIGHWAY 98, HATTIESBURG, MS 39402
Andrew Middleton, D.M.D., PLLC	Member	6643 Highway 98, Hattiesburg, MS 39402
Scott M. Tomlinson, D.M.D., PLLC	Member	6643 Highway 98, Hattiesburg, MS 39402
Jonathan Robert Nichols, D.M.D	Member	6643 U S Highway 98, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:

1316216716

Link:

View on NPI website

Authorized Person:

Name:

MS. TINA MYERS

Role:

OFFICE MANAGER

Phone:

6014506060

Taxonomy:

Selected Taxonomy:

1223P0221X - Pediatric Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 601-450-6060

Fax:

6014506062

Form 5500 Series

Employer Identification Number (EIN):

453987427

Plan Year:

2023

Number Of Participants:

48

Sponsors Telephone Number:

6014506060

File:

Plan Year:

2022

Number Of Participants:

49

Sponsors Telephone Number:

6014506060

File:

Plan Year:

2021

Number Of Participants:

54

Sponsors Telephone Number:

6014506060

File:

Plan Year:

2020

Number Of Participants:

46

Sponsors Telephone Number:

6014506060

File:

Plan Year:

2020

Number Of Participants:

46

Sponsors Telephone Number:

6014506060

Filings

Type	Status	Filed Date	Description
Annual Report LLC	Filed	2025-03-17	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2024-02-12	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2023-03-20	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2022-07-11	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2022-02-17	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2021-02-10	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2020-01-17	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2019-05-28	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2018-04-10	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC
Annual Report LLC	Filed	2017-04-12	Annual Report For Pediatric Dental Group of Hattiesburg, PLLC

USAspending Awards / Financial Assistance

Date:

2020-04-28

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

271591.50

Total Face Value Of Loan:

271591.50

Paycheck Protection Program

Jobs Reported:

38

Initial Approval Amount:

$271,591.5

Date Approved:

2021-01-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$271,591.5

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$273,402.11

Servicing Lender:

The First Bank

Use of Proceeds:

Payroll: $271,591.5

Jobs Reported:

38

Initial Approval Amount:

$271,591.5

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$271,591.5

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$274,926.04

Servicing Lender:

The First Bank

Use of Proceeds:

Payroll: $211,591.5
Rent: $60,000

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Date of last update: 28 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website