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NPI Code Detail

MEDICARE: STUART J KESSLER DDS

MEDICARE:   STUART J 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
1122300000XDentist009704MI

General Provider Information

NPI Number : 1780098897
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART J KESSLER DDS
Provider Business Mailing Address
First Line : 38900 VAN DYKE AVE
Second Line : #301
City : STERLING HTS
State : MI
Zip : 48312-1177
Country : US
Telephone Number : 586-939-1144
Fax Number :
Provider Business Practice Location Address
First Line : 38900 VAN DYKE AVE
Second Line : #301
City : STERLING HTS
State : MI
Zip : 48312-1177
Country : US
Telephone Number : 586-939-1144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2014
Last Update Date : 06/17/2014

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Directions to “ STUART J KESSLER DDS” Practice Location

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