Provider Demographics
NPI:1114135860
Name:MEISEL, CHESTER ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:ARTHUR
Last Name:MEISEL
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 1:432 N GREENBUSH RD
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-9439
Mailing Address - Country:US
Mailing Address - Phone:518-283-1881
Mailing Address - Fax:518-283-7843
Practice Address - Street 1:432 N GREENBUSH RD
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-9439
Practice Address - Country:US
Practice Address - Phone:518-283-1881
Practice Address - Fax:518-283-7843
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041631122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist