Provider Demographics
NPI:1225403496
Name:FRANK A. KESTLER, D.D.S.
Entity type:Organization
Organization Name:FRANK A. KESTLER, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-298-5021
Mailing Address - Street 1:11535 MAIN RD
Mailing Address - Street 2:POB 1650
Mailing Address - City:MATTITUCK
Mailing Address - State:NY
Mailing Address - Zip Code:11952-1566
Mailing Address - Country:US
Mailing Address - Phone:631-298-5021
Mailing Address - Fax:631-298-0044
Practice Address - Street 1:11535 MAIN RD
Practice Address - Street 2:POB 1650
Practice Address - City:MATTITUCK
Practice Address - State:NY
Practice Address - Zip Code:11952-1566
Practice Address - Country:US
Practice Address - Phone:631-298-5021
Practice Address - Fax:631-298-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty