Provider Demographics
NPI:1629790555
Name:KESSLER, HALEY DONOVAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:DONOVAN
Last Name:KESSLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26032 MARGUERITE PKWY STE A-1
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5281
Mailing Address - Country:US
Mailing Address - Phone:949-582-8400
Mailing Address - Fax:
Practice Address - Street 1:26032 MARGUERITE PKWY STE A-1
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-5281
Practice Address - Country:US
Practice Address - Phone:949-582-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108073122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist