Provider Demographics
NPI:1669483012
Name:KESSLER, JOEL ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ROBERT
Last Name:KESSLER
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 1:3543 W BRADDOCK RD
Mailing Address - Street 2:SUITE E-1
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1903
Mailing Address - Country:US
Mailing Address - Phone:703-931-6600
Mailing Address - Fax:703-931-4594
Practice Address - Street 1:3543 W BRADDOCK RD
Practice Address - Street 2:SUITE E-1
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1903
Practice Address - Country:US
Practice Address - Phone:703-931-6600
Practice Address - Fax:703-931-4594
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010066771223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics