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Individual
DR. KEVIN FLEISSIG
Active
Individual
DR. KEVIN FLEISSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00740285
—
NY
01
—
7338
EXCELLUS
NY
Enumeration date
04/06/2006
Last updated
07/13/2026
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