Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew D. McKissock, DMD

Individual provider Dentist · NPI 1104049543

Dr. Matthew D. McKissock, DMD is a Dentist in Windermere, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4769 The Grove Dr Ste 100
Windermere, FL 34786
Phone: (407) 909-1099
Fax: (407) 909-1599
Show map & directions

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 number1104049543
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address4769 The Grove Dr., Suite 100, Windermere, FL 34786

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