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DR. MATTHEW D. MCKISSOCK D.M.D.
NPI 1104049543
Dentist in Windermere, FL

Active since April 11, 2007
4769 THE GROVE DR., SUITE 100, WINDERMERE, FL 34786(407) 909-1099(407) 909-1599 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew D. Mckissock D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW D. MCKISSOCK D.M.D. (NPI 1104049543) is an individual dentist in Windermere, Florida, licensed in Florida (DN14895) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104049543
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATTHEW D. MCKISSOCKCredential: D.M.D.
Location Address4769 THE GROVE DR., SUITE 100Windermere, FL 34786
Mailing Address4769 The Grove Dr., Suite 100Windermere, FL 34786 · (407) 909-1099 · Fax (407) 909-1599
Phone(407) 909-1099
Fax(407) 909-1599
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1104049543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN14895
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4769 THE GROVE DR., Windermere, FL 34786
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUPAL THAKKAR D.M.D.
Dentist
4769 THE GROVE DR., SUITE 100
WINDERMERE, FL 34786
Orange County (407) 909-1099
MCKISSOCK CORP
Dentist
4769 THE GROVE DR., SUITE 100
WINDERMERE, FL 34786
Orange County (407) 909-1099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mckissock's NPI number?

The NPI number for Matthew Mckissock is 1104049543. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Matthew Mckissock located?

Matthew Mckissock practices at 4769 The Grove Dr. Suite 100, Windermere, FL 34786. The listed phone number is (407) 909-1099.

What is Matthew Mckissock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Matthew Mckissock accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Matthew Mckissock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Mckissock was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.