Provider Demographics
NPI:1275760126
Name:KEEL, MURRAY E III (DDS)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:E
Last Name:KEEL
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 N SECOND ST
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-4538
Mailing Address - Country:US
Mailing Address - Phone:228-467-5577
Mailing Address - Fax:
Practice Address - Street 1:304 N SECOND ST
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-4538
Practice Address - Country:US
Practice Address - Phone:228-467-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3509-09122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist