Individual provider · Type 1 NPI
John David Kisella, DDS, MD
Specialist · Matthews, NC
NPI number
1174530562
Active
Practice location
1208 Mann Dr, Suite 100
Matthews, NC 28105-7591
Fax (704) 849-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7871 (NC) |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Matthews
About NPI 1174530562
John David Kisella, DDS, MD's National Provider Identifier is 1174530562, issued on Aug 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Matthews, NC. The record was last updated on Sep 11, 2025.