# K. JASINSKI, D.M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** K. JASINSKI, D.M.D., P.C.
- **Other names:** Riverbend Village Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093354854
- **Legal business name:** K. JASINSKI, D.M.D., P.C.
- **Authorized official:** JESSICA BRITT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 9511 RIVERBEND VILLAGE DR STE I5, CHARLOTTE, NC 28216-9124
- **Practice address phone:** (704) 697-5908
- **Practice address fax:** (980) 237-9748
- **Mailing address:** 9511 RIVERBEND VILLAGE DR STE I5, CHARLOTTE, NC 28216-9124
- **Mailing address phone:** (109) 335-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2019
- **Last updated:** 10/04/2024