National Provider Identifier Database

KENNETH C BEAL JR, DDS – NPI #1649463977
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

KENNETH C BEAL JR, DDS
913 B.B. KING ROAD
INDIANOLA, MS38751
Phone: 662-887-4814
Fax: 662-887-9418
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KENNETH C BEAL JR

NPI Number 1649463977
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 2459-89
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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