Provider Demographics
NPI:1902910227
Name:O'KEEFE, DANNY PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:PATRICK
Last Name:O'KEEFE
Suffix:
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 1:996 TOP ST
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9541
Mailing Address - Country:US
Mailing Address - Phone:601-936-2526
Mailing Address - Fax:601-936-2426
Practice Address - Street 1:996 TOP ST
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9541
Practice Address - Country:US
Practice Address - Phone:601-936-2526
Practice Address - Fax:601-936-2426
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1244-661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice