IndividualActive
Kenneth Beal, D.D.S.
NPI 1649463977 · General Practice Dentistry · Indianola, MS
Provider details
- NPI number
- 1649463977
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2459-89 (MS)
Specialties & taxonomies
Dental Providers
Practice location
913 B.b. King Road
Indianola, MS 38751
Phone: (662) 887-4814
Fax: (662) 887-9418
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1077
Indianola, MS 38751-1077
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.