Healthcare Provider Details

I. General information

NPI: 1881617363
Provider Name (Legal Business Name): DAVID KESSLER DMD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 N 6TH ST
BROOKLYN NY
11211-3207
US

IV. Provider business mailing address

183 N 6TH ST
BROOKLYN NY
11211-3207
US

V. Phone/Fax

Practice location:
  • Phone: 718-388-3737
  • Fax: 718-388-3449
Mailing address:
  • Phone: 718-388-3737
  • Fax: 718-388-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number052921
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: