Provider Demographics
NPI:1922163393
Name:KIESEL, NANCY ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELIZABETH
Last Name:KIESEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:ELIZABETN
Other - Last Name:KIESEL-CURRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3930 KNOWLES AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2428
Mailing Address - Country:US
Mailing Address - Phone:301-942-2846
Mailing Address - Fax:301-942-3791
Practice Address - Street 1:3930 KNOWLES AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2428
Practice Address - Country:US
Practice Address - Phone:301-942-2846
Practice Address - Fax:301-942-3791
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice