JEFFERY B KESECKER DDS PLC (NPI# 1972823995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972823995 |
| Entity Type | Organization |
| Organization Name | JEFFERY B KESECKER DDS PLC |
| Practice Address |
2071 Pro Pointe Ln Harrisonburg VA 22801-8021 |
| Practice Telephone | 5404371230 |
| Practice Fax Number | 5404371218 |
| Mailing Telephone | 5404371230 |
| Mailing Fax Number | 5404371218 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | BROOKE WILLIAMS (PRACTICE MANAGER) |
| Authorized Official Telephone | 5404371230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1497014146 | 05 | |
| VA | 1528495918 | 05 |
| Street Address |
2071 PRO POINTE LN |
| City | HARRISONBURG |
| State | VA |
| Zip Code | 22801-8021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1689233868 | Catherine Saliba Western | Occupational Therapist | 1591 Port Republic Road, Harrisonburg, VA 22801 | 2019-06-11 |
| 1043794027 | Srijana Chhetri | Social Worker | 217 S. Liberty St., Suite 205, Harrisonburg, VA 22801 | 2018-09-17 |
| 1649765306 | Jacob Nathaniel Shank | Physician Assistant | 75 Health Campus Drive, Harrisonburg, VA 22801 | 2018-06-26 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| 1982119475 | C. M. Garrison, Dds, PC | Dentist | 129 University Blvd., Suite D, Harrisonburg, VA 22801 | 2017-12-06 |
| 1518495696 | Amanda Ormsby | Speech-Language Pathologist | 847 Alpine Dr, Harrisonburg, VA 22801 | 2017-06-01 |
| 1447621867 | Generations Crossing | Clinic/Center | 3765 Taylor Spring Lane, Harrisonburg, VA 22801 | 2015-10-12 |
| 1275918427 | Tyechia Blakey | Massage Therapist | 1356 1/2 S. Main St., Harrisonburg, VA 22801 | 2015-07-29 |
| Find all providers in zip 22801 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| 1831295294 | Kenneth M Klamut | Dentist | 129 University Blvd, Suite A, Harrisonburg, VA 22801 | 2006-09-15 |
| 1649200783 | John Daniel Mclaughlin | Dentist | 4100 Quarles Court, Harrisonburg, VA 22801 | 2006-07-04 |
| 1205027695 | Kenneth M. Klamut, Dds, PC | Dentist | 129 University Blvd, Suite A, Harrisonburg, VA 22801-3751 | 2007-08-09 |
| 1043423676 | Mountain View Dental Team | Dentist | 4100 Quarles Ct, Harrisonburg, VA 22801-8797 | 2007-05-08 |
| 1952397770 | Stephen Wilson Paulette | Dentist | 4100 Quarles Ct, Harrisonburg, VA 22801-8797 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1962866350 | Zachary Jones | Dentist | 4660 Kenmore Ave Ste 204, Alexandria, VA 22304-1306 | 2016-04-11 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONBURG |
| Zip Code | 22801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.