Mckissock, Adam John
Mckissock, Adam John is an sole proprietor health care provider with primary practice located at 1720 Jet Stream Dr Ste 110 , Colorado Springs CO 80921-3938. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mckissock, Adam John can be contacted via phone (719) 488-2188.Contact Information
Primary practice address
1720 Jet Stream Dr Ste 110
Colorado Springs CO 80921-3938
Phone: (719) 488-2188
Fax: (719) 488-2188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DN 16025 | Florida |
| Dental Providers / Endodontics | 1223E0200X | 9878 | Colorado |
Profile Details
| NPI number | 1073561213 |
|---|---|
| LBN Legal business name | Mckissock, Adam John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | May 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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