Individual
DR. MICHAEL STEPHEN KEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
20040 PINEVILLE RD, LONG BEACH, MS 39560-3352
(228) 868-2828
Mailing address
20040 PINEVILLE RD, LONG BEACH, MS 39560-3352
(228) 868-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
198082
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64066152
EIN
MS
Enumeration date
10/10/2006
Last updated
07/08/2007
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