Stephen Michael Keel, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3745-14 Issued in MS

Practice address

20040 Pineville Rd
Long Beach, MS 39560-3352

Phone

(228) 868-2828

NPI assigned

Jun 10, 2014

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1619380458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20040 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603352",
            "telephone_number": "228-868-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20040 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603352",
            "telephone_number": "228-868-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3745-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Niolet, D.M.D.
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• Justin Kimberland Jourdan, RN, MSN, FNP-C
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• Michael Stephen Keel, D.M.D.
• Russell Kenworthy, ATC
• Hevyn Breanne Kergosien
• Brandon King, PHARM D
• Jennifer L Ladner, ATC
• Stephanie Ladner, NP

• Dentist in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.