OrganizationActive
Mckissock Corp
NPI 1831459551 · Dentist · Windermere, FL
Mckissock Corp is a Dentist organization in Windermere, FL (NPI 1831459551).
Provider details
- NPI number
- 1831459551
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Mckissock Corp
- Organization subpart
- Yes
- Authorized official
- Matthew Mckissock, Owner/President(407) 909-1099
- License
- DN16810 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4769 the Grove Dr.
Suite 100
Windermere, FL 34786
Phone: (407) 909-1099
Street-level locationGet directions
Mailing address
4769 the Grove Dr.
Windermere, FL 34786
Other names (DBA / former)
- Doing business as
- Windermere Dentistry
Registry dates
- Enumerated
- 2012-05-29
- Last updated
- 2012-05-29
Frequently asked questions
- What is Mckissock Corp's NPI number?
- Mckissock Corp's National Provider Identifier (NPI) is 1831459551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mckissock Corp?
- Mckissock Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mckissock Corp located?
- Mckissock Corp's practice location on file with NPPES is 4769 the Grove Dr., Windermere, FL 34786.
- What is Mckissock Corp's phone number?
- The practice phone number listed in the NPPES registry for Mckissock Corp is (407) 909-1099.
- Who is the authorized official for Mckissock Corp?
- The authorized official listed on Mckissock Corp's NPPES record is Matthew Mckissock, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mckissock Corp's NPI active?
- Yes — Mckissock Corp's NPI (1831459551) is active in the NPPES registry as of the last update on 2012-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.