1. Home
  2. Directory
  3. Michigan
  4. Portage
  5. Dentist
  6. NPI Profile

DR. JOHN R GISSAL DDS
NPI 1780645804
Dentist - Oral and Maxillofacial Surgery in Portage, MI

Active since March 29, 2006
3801 GLENKERRY CT, PORTAGE, MI 49024(269) 323-1527(269) 323-1670 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John R Gissal Dds NPPES

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

DR. JOHN R GISSAL DDS (NPI 1780645804) is an individual oral and maxillofacial surgery provider in Portage, Michigan, licensed in Michigan (2901012966) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1780645804
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN R GISSALCredential: DDS
Location Address3801 GLENKERRY CTPortage, MI 49024-0718
Mailing Address3801 Glenkerry CtPortage, MI 49024-0718 · (269) 323-1527 · Fax (269) 323-1670
Phone(269) 323-1527
Fax(269) 323-1670
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 8, 2010
✔ NPI 1780645804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901012966
Definition
An oral and maxillofacial surgery dentist specialized in 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.
3801 GLENKERRY CT, Portage, MI 49024
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINT34002
Medicaid2990946MI
Medicaid1644808MI

Other Providers at the Same Location NPPES 6

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

DR. KEVIN DONALD MORSE DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. TIMOTHY V WILLIAMS DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. THOMAS A SLACK DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. ROBERT M HUMPHRIES D.D.S., M.S.
Dentist (Prosthodontics)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-0888
DR. CHRISTIAN L KANAR DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527

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 John Gissal's NPI number?

The NPI number for John Gissal is 1780645804. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is John Gissal located?

John Gissal practices at 3801 Glenkerry Ct, Portage, MI 49024. The listed phone number is (269) 323-1527.

What is John Gissal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John Gissal was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.