Provider Demographics
NPI:1184638462
Name:KESSLER, RAYMOND AMANDUS III (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:AMANDUS
Last Name:KESSLER
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 CLOUDBREAK CT
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2763
Mailing Address - Country:US
Mailing Address - Phone:843-814-6577
Mailing Address - Fax:
Practice Address - Street 1:29 BEE STREET SUITE 501
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-3104
Practice Address - Country:US
Practice Address - Phone:843-792-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice