McKissock Corp.

Dentist · Windermere, FL

Organization Active NPI

NPI number 1477938140

Practice location

4769 the Grove Dr
Suite 100
Windermere, FL 34786-8421
Phone
(407) 909-1099

Open in Google Maps

NPI record

NPI
1477938140
Entity type
Organization (Type 2)
Enumeration date
July 23, 2015
Last updated
August 11, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN14895 FL

Authorized official

Name
Dr. Matthew Dean McKissock, D.M.D.
Title
Owner/President
Phone
(407) 909-1099

Other names

  • Windermere Dentistry

About McKissock Corp.

McKissock Corp. is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4769 the Grove Dr, Suite 100, Windermere, FL 34786-8421. The NPI number 1477938140 was assigned on July 23, 2015 and the record was last updated on August 11, 2015.

McKissock Corp. lists a license in the registry: #DN14895 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Matthew Dean McKissock, D.M.D., Owner/President.

Frequently asked questions

What is the NPI number of McKissock Corp.?

The NPI number is 1477938140.

What is the phone number of McKissock Corp.?

The phone number listed for the practice location is (407) 909-1099.

Where is McKissock Corp. located?

4769 the Grove Dr, Suite 100, Windermere, FL 34786-8421.

What is the taxonomy code for McKissock Corp.?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Windermere

All Dentist providers in Windermere, FL →