Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Independence Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
3830 CAROLINA BEACH RD, WILMINGTON, NC 28412-1911
(910) 756-4041
(910) 756-4042
Mailing address
3830 CAROLINA BEACH RD, WILMINGTON, NC 28412-1911
(910) 756-4041
(910) 756-4042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
10/04/2024
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