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

McKissock Corp

Organization Dentist · NPI 1831459551

McKissock Corp provides Dentist services in Windermere, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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 Not confirmed with CMS for 14 years — call before visiting
Phone: (407) 909-1099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16810 (FL)

Record details

NPI number1831459551
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMcKissock Corp
Authorized official Matthew McKissock — Owner/President · (407) 909-1099
Other names Windermere Dentistry
NPI enumeratedMay 29, 2012
Last updated in NPPESMay 29, 2012
Mailing address4769 The Grove Dr., Suite 100, Windermere, FL 34786

Other providers in Windermere