Individual provider · Type 1 NPI

John R. Gissal, DDS

Oral and Maxillofacial Surgery (Dentist) · Portage, MI

NPI number 1780645804 Active

Practice location

3801 Glenkerry Ct
Portage, MI 49024-0718

Call (269) 323-1527 Map

Fax (269) 323-1670

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901012966 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1780645804

John R. Gissal, DDS's National Provider Identifier is 1780645804, issued on Mar 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portage, MI. The record was last updated on Jun 8, 2010.