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Dr. John David Kisella, DDS,MD
Specialist in Matthews, North Carolina
NPI 1174530562

John David Kisella is a Specialist based in Matthews, NC. John David Kisella practices in Matthews, NC and has the professional credentials of DDS,MD. The NPI Number for John David Kisella is 1174530562 and holds a License No. 7871 (North Carolina).

The current practice location address for John David Kisella is 1208 Mann Dr, Matthews, NC and can be reached out via phone at 704-846-1166 and via fax at 704-849-2051.

Location: 1208 Mann Dr, Matthews, NC, 28105-7591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174530562
Provider Name
John David Kisella
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1208 Mann Dr, Matthews, NC, 28105-7591
Phone Number
704-846-1166
Fax Number
704-849-2051
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1208 Mann Dr
City
Matthews
State
North Carolina
Zip
28105-7591
Phone Number
704-846-1166
Fax Number
704-849-2051
person
Provider Business Mailing Address Details
Address
1208 Mann Dr
City
Matthews
State
North Carolina
Zip
28105-7591
Phone Number
704-846-1166
Fax Number
704-849-2051
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
7871 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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