Provider Demographics
NPI:1669631289
Name:KESSER, HOWARD LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEE
Last Name:KESSER
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 1:900 W LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-2024
Mailing Address - Country:US
Mailing Address - Phone:757-423-1021
Mailing Address - Fax:757-423-1030
Practice Address - Street 1:900 W LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2024
Practice Address - Country:US
Practice Address - Phone:757-423-1021
Practice Address - Fax:757-423-1030
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401002557122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
056987OtherANTHEM
524789OtherUNITED CONCORDIA
VA7801394Medicaid