M. Bert Keel Jr DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

193381 Issued in MS

Legal business name

M. BERT KEEL JR DMD PA

Practice address

304 N Second St
Bay St Louis, MS 39520-4538

Phone

(228) 467-5577

Fax

(228) 467-0468

NPI assigned

Sep 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. M Bert Keel Jr., DMDNPI 1578655767

Title

Owner

Phone

(228) 467-5577

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Bert Keel Jr., D.M.D.

  • Dentist
  • Bay St Louis, MS
  • NPI 1578655767
  NPD (past) Authorized official
• Murray E Keel III, D.D.S.

  • Dentist
  • Bay St Louis, MS
  • NPI 1275760126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1013241025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N SECOND ST",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395204538",
            "telephone_number": "228-467-5577",
            "fax_number": "228-467-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N SECOND ST",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395204538",
            "telephone_number": "228-467-5577",
            "fax_number": "228-467-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BERT KEEL JR DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "BERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-467-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "193381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rillens Lee, M.D.
• Jasmine Tiya Lewis
• Elizabeth Leyva, CMHT
• LSP Southeast, LLC
• M Powell LLC
• Magnolia Weight Loss LLC
• Maryellen Mann, PCMHT
• Mary Dianne Martin, CRNA
• Dovie Lou Mayes, CRNA
• Sean McDaniel, PCMHT

• General Practice Dentistry in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.