Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John David Kisella, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1174530562

Dr. John David Kisella, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Matthews, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1208 Mann Dr Ste 100
Matthews, NC 28105-7591
Phone: (704) 846-1166
Fax: (704) 849-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NC)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 7871 (NC)

Record details

NPI number1174530562
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1208 Mann Dr, Suite 100, Matthews, NC 28105-7591

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