Olesia Kesova, DMD
Individual provider Active NPI General Practice Dentistry · Bay Harbor Islands, FL
NPI 1750155669 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1750155669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN28651 (FL)
- Practice address
- 1048 Kane Concourse
Bay Harbor Islands, FL 33154-2132 - Phone
- (305) 615-5722
- Fax
- (954) 900-1635
- NPI assigned
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| DN28651 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Cosmetic Dentistry Amd | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28651 | FL | Yes |
Addresses
Primary practice location
1048 Kane Concourse
Bay Harbor Islands, FL 33154-2132
Mailing address
1818 Hollywood Blvd Apt 906
Hollywood, FL 33020-6857
Phone (754) 284-7974
Other providers in Bay Harbor Islands, FL
- Jeffrey G. Draesel MD PA
- Jeremy B. Freedman M.D., P.a.
- Jonathan Tuman DDS PA
- Jonathan E Journo
- Kane Concourse Medical Offices, LLC
- Keystone Point Medical Pharmacy, Inc.
- Catherine Marie Kirchner
- Andrew G Kovacs
- Ary Krau
- Eddy Marlene La Cruz
All providers in Bay Harbor Islands, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. 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.