MEDICARE: DR. MICHAEL C KESSLER DDS, MSD

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	12014171A	IN

General Provider Information

NPI Number	:	1790669851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL C KESSLER DDS, MSD

Provider Business Mailing Address
First Line	:	3140 MIDDLE RD
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-2298
Country	:	US
Telephone Number	:	812-379-1111
Fax Number	:	812-379-1113

Provider Business Practice Location Address
First Line	:	3140 MIDDLE RD
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-2298
Country	:	US
Telephone Number	:	812-379-1111
Fax Number	:	812-379-1113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2025
Last Update Date	:	08/02/2025

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