Provider Demographics
NPI:1992817423
Name:KESLING, ZACHARY F (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:F
Last Name:KESLING
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 1:3976 DESTINATION DR.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229
Mailing Address - Country:US
Mailing Address - Phone:941-375-8494
Mailing Address - Fax:941-375-8419
Practice Address - Street 1:3976 DESTINATION DR.
Practice Address - Street 2:SUITE 203
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9502
Practice Address - Country:US
Practice Address - Phone:941-375-8494
Practice Address - Fax:941-375-8419
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17379122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice