Healthcare Provider Details

I. General information

NPI: 1730617127
Provider Name (Legal Business Name): PAUL CHRISTOPHER KESSLING II DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 09/11/2025
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 CROCKER RD STE 103
WESTLAKE OH
44145-6710
US

IV. Provider business mailing address

1316 CEDARWOOD DR APT D3
WESTLAKE OH
44145-1848
US

V. Phone/Fax

Practice location:
  • Phone: 216-770-9040
  • Fax: 216-770-9041
Mailing address:
  • Phone: 850-545-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number30025093
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: