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

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

## Provider details

- **NPI number:** 1417713439
- **Legal business name:** K. JASINSKI, D.M.D., P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 7964 MARKET ST STE 110, WILMINGTON, NC 28411-9382
- **Practice address phone:** (910) 795-4304
- **Practice address fax:** (910) 795-4478
- **Mailing address:** 7964 MARKET ST UNIT 2, WILMINGTON, NC 28411-9382
- **Mailing address phone:** (910) 795-4304
- **Mailing address fax:** (910) 795-4478

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2024
- **Last updated:** 10/04/2024