Provider Demographics
NPI:1275521338
Name:KESTLER, FRANCIS A (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:A
Last Name:KESTLER
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 1:11535 MAIN RD
Mailing Address - Street 2:PO BOX 1650
Mailing Address - City:MATTITUCK
Mailing Address - State:NY
Mailing Address - Zip Code:11952-1566
Mailing Address - Country:US
Mailing Address - Phone:631-298-5021
Mailing Address - Fax:631-298-0044
Practice Address - Street 1:11535 MAIN RD
Practice Address - Street 2:
Practice Address - City:MATTITUCK
Practice Address - State:NY
Practice Address - Zip Code:11952-1566
Practice Address - Country:US
Practice Address - Phone:631-298-5021
Practice Address - Fax:631-298-0044
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04126411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01052102Medicaid