Provider Demographics
NPI:1073633798
Name:KESSLER, ELLIOT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GRAMERCY PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1759
Mailing Address - Country:US
Mailing Address - Phone:212-777-7126
Mailing Address - Fax:212-505-6599
Practice Address - Street 1:7 GRAMERCY PARK W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1759
Practice Address - Country:US
Practice Address - Phone:212-777-7126
Practice Address - Fax:212-505-6599
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist