Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

McKissock Corp

Organization Dentist · NPI 1477938140

McKissock Corp provides Dentist services in Windermere, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4769 The Grove Dr Ste 100
Windermere, FL 34786-8421 Not confirmed with CMS for 11 years — call before visiting
Phone: (407) 909-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN14895 (FL)

Record details

NPI number1477938140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew McKissock — Owner/President · (407) 909-1099
Other names Windermere Dentistry
NPI enumeratedJuly 23, 2015
Last updated in NPPESAugust 11, 2015
Mailing address4769 The Grove Dr, Suite 100, Windermere, FL 34786-8421

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