Healthcare Provider Details

I. General information

NPI: 1588449748
Provider Name (Legal Business Name): ANNABEL CAPLEY KISLING DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 GRAND LELY DR
NAPLES FL
34113-1753
US

IV. Provider business mailing address

110 19TH AVE S APT 2108
NASHVILLE TN
37203-6209
US

V. Phone/Fax

Practice location:
  • Phone: 239-920-4523
  • Fax:
Mailing address:
  • Phone: 423-326-7413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDRPM3092
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: