Provider Demographics
NPI:1891852281
Name:FESSLER, ERNEST WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:WILLIAM
Last Name:FESSLER
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 1:191 DAYTON CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3412
Mailing Address - Country:US
Mailing Address - Phone:925-828-2191
Mailing Address - Fax:925-828-0196
Practice Address - Street 1:191 DAYTON CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3412
Practice Address - Country:US
Practice Address - Phone:925-828-2191
Practice Address - Fax:925-828-0196
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice