Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW D. MCKISSOCK, D.M.D.
Active Sole ProprietorDR. MATTHEW D. MCKISSOCK, D.M.D. is a Dentist healthcare provider located in WINDERMERE, Florida. NPI 1104049543 is currently active in the NPPES registry. Verify at CMS.
Dentist · WINDERMERE, FL
Registration Details
- NPI Number
- 1104049543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.330470170333 yrs)
- Last Updated
- Sep 22, 2022
- License
-
DN14895 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4769 THE GROVE DR.SUITE 100WINDERMERE, FL, 34786Browse FL providers · Browse ZIP 34786
- Phone
- 4079091099
- Fax
- 4079091599
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WINDERMERE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. CARLA PATRICIA TALAVERA-JORDAN | D.M.D. | 1295748747 |
| DR. MARK C MCCOY | DDS | 1588739239 |
| DR. RUPAL THAKKAR | D.M.D. | 1164639035 |
| MARCO P CASTELLINI | D.D.S. | 1386958155 |
| BINITA S PATEL | DMD | 1750635520 |
| DR. SANDRA V PUERTO | D.M.D | 1972941961 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.