Provider Demographics
NPI:1477625762
Name:BRYAN, ROBERT KESSLER (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KESSLER
Last Name:BRYAN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:JOSEPH
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MSD
Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 519
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-435-2788
Mailing Address - Fax:610-435-4696
Practice Address - Street 1:1605 N CEDAR CREST BLVD
Practice Address - Street 2:SUITE 519
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2351
Practice Address - Country:US
Practice Address - Phone:610-435-2788
Practice Address - Fax:610-435-4696
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025879L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics