Organization · Type 2 NPI

K. Jasinski, D.m.d., P.c.

General Practice Dentistry · Charlotte, NC

NPI number 1336996313 Active

Practice location

200 Queens Rd Ste 310
Charlotte, NC 28204-3257

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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NPI record

NPI: 1336996313
Entity type: Organization (Type 2)
Issued: May 6, 2024
Last updated: Oct 4, 2024
Status: Active
Subpart: Yes of K. Jasinski, D.m.d., P.c.

Other names

<unavail>
Queens Road Dentistry · doing business as
Queens Road Dentistry · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336996313

K. Jasinski, D.m.d., P.c.'s National Provider Identifier is 1336996313, issued on May 6, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Charlotte, NC. The record was last updated on Oct 4, 2024.