Provider Demographics
NPI:1265170468
Name:KESAR, ANKITA (DMD)
Entity type:Individual
Prefix:DR
First Name:ANKITA
Middle Name:
Last Name:KESAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 BOSTON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-1314
Mailing Address - Country:US
Mailing Address - Phone:413-782-8700
Mailing Address - Fax:
Practice Address - Street 1:76 NEWTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6265
Practice Address - Country:US
Practice Address - Phone:203-794-0357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT134861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice