Individual
DR. KURT ALAN MCKISSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
107 EDINBURGH SOUTH DR, SUITE 200, CARY, NC 27511-8426
(919) 481-3007
(919) 481-6637
Mailing address
109 STOCKETT CT, GARNER, NC 27529-4565
(919) 772-6632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4668
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995826
—
NC
Enumeration date
10/10/2006
Last updated
07/09/2007
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