Provider Demographics
NPI:1285204305
Name:STINGLE, KILIAN MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:KILIAN
Middle Name:MICHAEL
Last Name:STINGLE
Suffix:
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 1:14350 HAMPSHIRE BAY CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5905
Mailing Address - Country:US
Mailing Address - Phone:407-529-5215
Mailing Address - Fax:
Practice Address - Street 1:65 W MITCHELL HAMMOCK RD STE 1511
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6969
Practice Address - Country:US
Practice Address - Phone:407-604-0399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist