Provider Demographics
NPI:1851505267
Name:ALLEN W. KESSLER, DMD
Entity Type:Organization
Organization Name:ALLEN W. KESSLER, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-780-7365
Mailing Address - Street 1:316 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064-2222
Mailing Address - Country:US
Mailing Address - Phone:205-780-7365
Mailing Address - Fax:205-786-8868
Practice Address - Street 1:316 VALLEY RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064-2222
Practice Address - Country:US
Practice Address - Phone:205-780-7365
Practice Address - Fax:205-786-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty