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
Fax: (719) 488-2188
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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