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Organization
KURT A. MCKISSICK, DDS, PA
Active
Organization
KURT A. MCKISSICK, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT A. MCKISSICK DDS (PRESIDENT)
(919) 481-3007
Entity
Organization
Contact information
Practice address
107 EDINBURGH SOUTH DR STE 200, CARY, NC 27511-6454
(919) 481-3007
(919) 481-6637
Mailing address
107 EDINBURGH SOUTH DR STE 200, CARY, NC 27511-6454
(919) 481-3007
(919) 481-6637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4668
LICENSE #
NC
Enumeration date
05/08/2007
Last updated
08/22/2020
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