Provider Demographics
NPI:1346800463
Name:B AND B DENTAL GROUP, LLC D/B/A KESSLER FAMILY DENTAL AND ASSOCIATES
Entity Type:Organization
Organization Name:B AND B DENTAL GROUP, LLC D/B/A KESSLER FAMILY DENTAL AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MACIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:219-308-2694
Mailing Address - Street 1:9161 E 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8677
Mailing Address - Country:US
Mailing Address - Phone:219-576-7958
Mailing Address - Fax:
Practice Address - Street 1:9161 E 109TH AVE
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8677
Practice Address - Country:US
Practice Address - Phone:219-576-7958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPTON AND BROOMHEAD DENTAL CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-20
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty