Individual
DR. ADAM JOHN MCKISSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1720 JET STREAM DR STE 110, COLORADO SPRINGS, CO 80921-3938
(719) 488-2188
(719) 488-2188
Mailing address
1720 JET STREAM DR STE 110, COLORADO SPRINGS, CO 80921-3938
(719) 488-2188
(719) 488-2188
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9878
CO
1223E0200X
Endodontics
DN 16025
FL
Other
Enumeration date
05/04/2006
Last updated
05/16/2022
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