Healthcare Provider Details

I. General information

NPI: 1265341093
Provider Name (Legal Business Name): DARA KESSLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR FL 1
BETHESDA MD
20892-0004
US

IV. Provider business mailing address

8013 NEWDALE RD
BETHESDA MD
20814-4623
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-4371
  • Fax:
Mailing address:
  • Phone: 917-957-9351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number15721
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: