Provider Demographics
NPI:1366853731
Name:DEN BESTE, KYLE ANDREW DALLAS (MD)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:ANDREW DALLAS
Last Name:DEN BESTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:ANDREW
Other - Last Name:DENBESTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:105 BONNIE LOCH CT STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2909
Mailing Address - Country:US
Mailing Address - Phone:407-245-3636
Mailing Address - Fax:407-245-3636
Practice Address - Street 1:105 BONNIE LOCH CT STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2909
Practice Address - Country:US
Practice Address - Phone:407-245-3636
Practice Address - Fax:407-245-3637
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME139689207W00000X
IN01080008A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology