Individual provider · Type 1 NPI

Matthew D. McKissock, DMD

Dentist · Windermere, FL

NPI number 1104049543 Active

Practice location

4769 The Grove Dr., Suite 100
Windermere, FL 34786

Fax (407) 909-1599

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN14895 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104049543

Matthew D. McKissock, DMD's National Provider Identifier is 1104049543, issued on Apr 11, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Windermere, FL. The record was last updated on Sep 22, 2022.