Provider Demographics
NPI:1124248596
Name:ROGER A. KAESTNER, D.D.S.,P.A.
Entity type:Organization
Organization Name:ROGER A. KAESTNER, D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:KAESTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-783-4591
Mailing Address - Street 1:5605 WINSOME LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5729
Mailing Address - Country:US
Mailing Address - Phone:713-783-4591
Mailing Address - Fax:
Practice Address - Street 1:5605 WINSOME LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5729
Practice Address - Country:US
Practice Address - Phone:713-783-4591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX165801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty