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Ms. Dereka Mckissack Mckissack
Dental Assistant in Stone Mountain, Georgia
NPI 1124469705

Dereka Mckissack Mckissack is a Dental Assistant based in Stone Mountain, GA. Dereka Mckissack Mckissack practices in Stone Mountain, GA. The NPI Number for Dereka Mckissack Mckissack is 1124469705 and holds a License No. (Georgia).

The current practice location address for Dereka Mckissack Mckissack is 374 N Deshon Rd Ste D, Stone Mountain, GA and can be reached out via phone at 770-469-4192 and via fax at 770-469-4195. You can also correspond with Dereka Mckissack Mckissack through the mailing address at 374 N DESHON RD STE D, STONE MOUNTAIN, GA - 30087-4827 (mailing address contact number: 770-469-4192).

Location: 374 N Deshon Rd Ste D, Stone Mountain, GA, 30087-4827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124469705
Provider Name
Dereka Mckissack Mckissack
Credential
Provider Entity Type
Individual
Gender
Female
Address
374 N Deshon Rd Ste D, Stone Mountain, GA, 30087-4827
Phone Number
770-469-4192
Fax Number
770-469-4195
Provider Enumeration Date
07/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
374 N Deshon Rd Ste D
City
Stone Mountain
State
Georgia
Zip
30087-4827
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider Business Mailing Address Details
Address
374 N Deshon Rd Ste D
City
Stone Mountain
State
Georgia
Zip
30087-4827
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
()
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
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