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WINDERMERE DENTISTRY
NPI 1831459551
Dentist in Windermere, FL

Active since May 29, 2012
4769 THE GROVE DR., SUITE 100, WINDERMERE, FL 34786(407) 909-1099 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Windermere Dentistry NPPES

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

WINDERMERE DENTISTRY (NPI 1831459551) is a healthcare organization registered as a dentist in Windermere, Florida and active in the NPI registry since May 2012. The organization lists Matthew Dean Mckissock, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1831459551
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMCKISSOCK CORP
Location Address4769 THE GROVE DR., SUITE 100Windermere, FL 34786
Mailing Address4769 The Grove Dr., Suite 100Windermere, FL 34786 · (407) 909-1099
Phone(407) 909-1099
Organization SubpartYes
Authorized OfficialMatthew Dean MckissockOwner/president · (407) 909-1099
Enumeration DateMay 29, 2012
✔ NPI 1831459551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN16810
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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Other Names 1

Doing Business AsWindermere Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. MATTHEW D. MCKISSOCK D.M.D.
Dentist
4769 THE GROVE DR., SUITE 100
WINDERMERE, FL 34786
Orange County (407) 909-1099
DR. RUPAL THAKKAR D.M.D.
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 Mckissock Corp's NPI number?

The NPI number for Mckissock Corp is 1831459551. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Windermere Dentistry.

Where is Mckissock Corp located?

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

What is Mckissock Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Mckissock Corp was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.