Provider Demographics
NPI:1932294709
Name:KESSLER, ALLEN W (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:W
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 552
Mailing Address - Street 2:316 VALLEY ROAD
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064
Mailing Address - Country:US
Mailing Address - Phone:205-780-7365
Mailing Address - Fax:205-786-8868
Practice Address - Street 1:316 VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064
Practice Address - Country:US
Practice Address - Phone:205-780-7365
Practice Address - Fax:205-786-8868
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL-41711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice