Provider Demographics
NPI:1255469326
Name:ASENSIO, STANLEY HENRY II (DMD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:HENRY
Last Name:ASENSIO
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 WHISPER LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6761
Mailing Address - Country:US
Mailing Address - Phone:407-438-7177
Mailing Address - Fax:407-438-1779
Practice Address - Street 1:2144 WHISPER LAKES BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6761
Practice Address - Country:US
Practice Address - Phone:407-438-7177
Practice Address - Fax:407-438-1779
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00117631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice