MEDICARE: DR. DAVID KESSLER DMD, MD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	052921	NY

General Provider Information

NPI Number	:	1881617363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KESSLER DMD, MD

Provider Business Mailing Address
First Line	:	183 N 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-3207
Country	:	US
Telephone Number	:	718-388-3737
Fax Number	:	718-388-3449

Provider Business Practice Location Address
First Line	:	183 N 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-3207
Country	:	US
Telephone Number	:	718-388-3737
Fax Number	:	718-388-3449

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/12/2007

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