Provider Demographics
NPI:1780098897
Name:KESSLER, STUART J (DDS)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:J
Last Name:KESSLER
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 1:38900 VAN DYKE AVE
Mailing Address - Street 2:#301
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1177
Mailing Address - Country:US
Mailing Address - Phone:586-939-1144
Mailing Address - Fax:
Practice Address - Street 1:38900 VAN DYKE AVE
Practice Address - Street 2:#301
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48312-1177
Practice Address - Country:US
Practice Address - Phone:586-939-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI009704122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist