Individual provider · Type 1 NPI

Kerollos Wissa

Dentist · Boston, MA

NPI number 1376301697 Active

Practice location

635 Albany St
Boston, MA 02118-3550

Call (617) 358-8300 Map

Mailing address

1461 Terra Verde Way
Ocoee, FL 34761-8467

Other practice locations

  • 1617 Catalina Blvd, Deltona, FL 32725-9699 · (386) 457-4520

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDN29645 (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 1376301697

Kerollos Wissa's National Provider Identifier is 1376301697, issued on Mar 11, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boston, MA. The record was last updated on Oct 4, 2024.