Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Jonathan Kisicki, DDS

Individual provider Dentist · NPI 1215152681

Kevin Jonathan Kisicki, DDS is a Dentist in Laurel, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13940 Baltimore-Washington Blvd
Laurel, MD 20707
Phone: (301) 369-0000
Fax: (301) 369-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13477 (MD)

Record details

NPI number1215152681
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESJuly 8, 2007

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