John Robert Kesler, DDS PS
Individual provider Active NPI General Practice Dentistry · Landis, NC
NPI 1295886083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295886083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4078 (NC)
- Practice address
- 1010 South Main Street
Landis, NC 28088 - Phone
- (704) 857-6151
- Fax
- (704) 857-6152
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4078 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4078 | NC | Yes |
Addresses
Primary practice location
1010 South Main Street
Landis, NC 28088
Mailing address
1010 South Main Street
Landis, NC 28088
Phone (704) 857-6151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994864 | Medicaid | NC |
Other providers in Landis, NC
- Jawanna O Gaines
- Grace Haven Care LLC
- Healthstat Onsite Clinic Parkdale Plant 23
- Johnson Counseling and Family Services, PLLC
- Joshua Miller DMD Hickory, PLLC
- Jonathan Francis Leonard
- Lucas W. Merrell, DDS, PA
- Sophie Soltes Mack
- Brittany McGuire
- Lucas W Merrell
All providers in Landis, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.