KENNETH C BEAL JR. (NPI# 1649463977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649463977 |
| Entity Type | Individual |
| Full Name | KENNETH C BEAL JR. |
| Credential | D.D.S. |
| Practice Address |
913 B.b. King Road Indianola MS 38751 |
| Mailing Address |
Po Box 1077 Indianola MS 38751-1077 |
| Practice Telephone | 6628874814 |
| Practice Fax Number | 6628879418 |
| Mailing Telephone | 6628874814 |
| Mailing Fax Number | 6628879418 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2459-89 | MS | Dental Providers |
| Street Address |
913 B.B. KING ROAD |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
| 1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
| 1992884795 | Lovett Chiropractic Inc. | Chiropractor | 1470 Hwy 82 East, Indianola, MS 38751 | 2006-11-03 |
| Find all providers in zip 38751 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477808541 | Courtney Lynn Struthers | Dentist | 221 W Ashland Ave, Indianola, IA 50125-2422 | 2012-07-16 |
| 1336308014 | Indianola Dental Associates Inc PC | Dentist | 212 North Buxton, Indianola, IA 50125-2431 | 2008-06-06 |
| 1679602122 | Alan L Boone | Dentist | 204 S Howard St, Indianola, IA 50125-2515 | 2007-03-02 |
| 1730220690 | William Bradford Jenkins | Dentist | 211 Highway 82 E, Indianola, MS 38751-2234 | 2007-02-12 |
| 1679657951 | Julia R. Hill | Dentist | 104 W Gresham St, Indianola, MS 38751-2199 | 2006-10-24 |
| 1710958863 | Thomas Ray Cooney | Dentist | 215 N Buxton St, Indianola, IA 50125-2430 | 2006-01-27 |
| 1508404245 | Iowa Dental Health Professionals, P.C. | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2019-12-12 |
| 1295056034 | Cassey A. Rose | Dentist | 104 W Gresham St, Indianola, MS 38751-2199 | 2010-06-16 |
| 1770735565 | Indianola Family Dentistry Plc | Dentist | 212 N Buxton St, Indianola, IA 50125-2431 | 2008-10-13 |
| 1780851972 | Dental Professionals, Plc | Dentist | 200 N B St, Indianola, IA 50125-2429 | 2008-05-15 |
| Find all providers in INDIANOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.