Individual
DR. JEFFREY B KESLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
900 N. LIBERTY STREET, SUITE 304, BOISE, ID 83704
(208) 344-2747
(208) 344-0196
Mailing address
900 N. LIBERTY STREET, SUITE 304, BOISE, ID 83704
(208) 344-2747
(208) 344-0196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3334
ID
1223G0001X
General Practice Dentistry
D3334
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001 0011493
REGENCE BLUE SHIELD
ID
01
—
66688
BLUE CROSS
ID
01
—
6E755
FEDERAL EMPLOYEE PROGRAM
ID
01
—
905459
UNITED CONCORDIA
ID
Enumeration date
10/18/2006
Last updated
12/29/2011
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