Healthcare Provider Details

I. General information

NPI: 1316867955
Provider Name (Legal Business Name): GISSELLE MCWHORTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 WILES RD
CORAL SPRINGS FL
33067-2158
US

IV. Provider business mailing address

7730 NEWPORT LN
PARKLAND FL
33067-2341
US

V. Phone/Fax

Practice location:
  • Phone: 954-314-8343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32263
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: