| M. Bert Keel Jr Dmd Pa | |
|
304 N Second St Bay St Louis MS 39520-4538 | |
| (228) 467-5577 | |
| (228) 467-0468 |
| Full Name | M. Bert Keel Jr Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 304 N Second St, Bay St Louis, Mississippi |
| Authorized Official Name and Position | M Bert Keel (OWNER) |
| Authorized Official Contact | 2284675577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Bert Keel Jr Dmd Pa 304 N Second St Bay St Louis MS 39520-4538 Ph: (228) 467-5577 | M. Bert Keel Jr Dmd Pa 304 N Second St Bay St Louis MS 39520-4538 Ph: (228) 467-5577 |
| NPI Number | 1013241025 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013241025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 193381 (Mississippi) | Primary |
Amy Kenny Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1166 Us-90, Bay St Louis, MS 39520 Phone: 228-688-0624 Fax: 228-688-0625 |