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NPI Code Detail

MEDICARE: DR. ERIC KESSLER DDS

MEDICARE:  DR. ERIC  KESSLER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4693WV
2390200000XStudent in an Organized Health Care Education/Training Program
3122300000XDentistDEN5200ME

General Provider Information

NPI Number : 1851096549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC KESSLER DDS
Provider Business Mailing Address
First Line : 171 MAINE MALL RD
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2310
Country : US
Telephone Number : 512-739-5261
Fax Number :
Provider Business Practice Location Address
First Line : 171 MAINE MALL RD
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2310
Country : US
Telephone Number : 512-739-5261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 09/23/2025

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Directions to “ DR. ERIC KESSLER DDS” Practice Location

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