# 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:** Dental Care on Causeway
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639997331
- **Legal business name:** K. JASINSKI, D.M.D., P.C.
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 1572 MARKET PLACE BLVD, OCEAN ISLE BEACH, NC 28469-5003
- **Practice address phone:** (910) 832-0516
- **Practice address fax:** (910) 832-0517
- **Mailing address:** 1572 MARKET PLACE BLVD, OCEAN ISLE BEACH, NC 28469

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 10/04/2024