# KIESEL DENTAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kiesel & Gowda Dental Associates, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902971062
- **Authorized official:** DR. WILLIAM A KIESEL DDS (OWNER)
- **Authorized official phone:** (215) 536-1717

## Contact information

- **Practice address:** 355 EDGEMONT AVENUE, QUAKERTOWN, PA 18951
- **Practice address phone:** (215) 536-1717
- **Practice address fax:** (215) 529-9809
- **Mailing address:** 355 EDGEMONT AVENUE, QUAKERTOWN, PA 18951
- **Mailing address phone:** (215) 536-1717
- **Mailing address fax:** (215) 529-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS021954L | PA | Yes |
| 122300000X | Dentist | DS039978 | PA | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 11/10/2016