Dr John David Kisella, DDS, MD - in Matthews, NC

Dr John David Kisella, DDS, MD is a Specialist based in Matthews, North Carolina. Dr John David Kisella is licensed to practice in North Carolina (license number ) and his current practice location is 1208 Mann Dr, Suite 100, Matthews, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 846-1166.

NPI number for Dr John David Kisella is 1174530562 and his current mailing address is 1208 Mann Dr, Suite 100, Matthews, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174530562.

Contact Information

Dr John David Kisella, DDS, MD
1208 Mann Dr, Suite 100,
Matthews, NC 28105-7591
(704) 846-1166
(704) 849-2051



Healthcare Provider's Profile

Full NameDr John David Kisella
GenderMale
SpecialitySpecialist
Location1208 Mann Dr, Matthews, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174530562
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John David Kisella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174530562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 7871 (North Carolina)Primary
174400000XSpecialist (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John David Kisella is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John David Kisella, DDS, MD
1208 Mann Dr, Suite 100,
Matthews, NC 28105-7591

Ph: (704) 846-1166
Dr John David Kisella, DDS, MD
1208 Mann Dr, Suite 100,
Matthews, NC 28105-7591

Ph: (704) 846-1166

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