Healthcare Provider Details

I. General information

NPI: 1396853883
Provider Name (Legal Business Name): KESSLER DENTAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 VALLEY FORGE RD
PHOENIXVILLE PA
19460
US

IV. Provider business mailing address

1150 VALLEY FORGE RD STE 101
PHOENIXVILLE PA
19460-2640
US

V. Phone/Fax

Practice location:
  • Phone: 610-933-3342
  • Fax: 610-983-9122
Mailing address:
  • Phone: 610-933-3342
  • Fax: 610-983-9122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS025528L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD MEHRAN ROUHANIAN
Title or Position: DDS/OWNER
Credential: DDS
Phone: 610-933-3342