Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Riverside Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
5815 RAMSEY ST, FAYETTEVILLE, NC 28311-3416
(910) 630-6199
Mailing address
5815 RAMSEY ST, FAYETTEVILLE, NC 28311-3416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
12/11/2024
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