Provider Demographics
NPI:1033294483
Name:RASENBERGER, VANKESTEREN & GETZ, DDS, PA
Entity Type:Organization
Organization Name:RASENBERGER, VANKESTEREN & GETZ, DDS, PA
Other - Org Name:NORTH STATE PERIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:P
Authorized Official - Last Name:RASENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-549-4991
Mailing Address - Street 1:2315 W ARBORS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2660
Mailing Address - Country:US
Mailing Address - Phone:704-549-4991
Mailing Address - Fax:704-549-0135
Practice Address - Street 1:2315 W ARBORS DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2660
Practice Address - Country:US
Practice Address - Phone:704-549-4991
Practice Address - Fax:704-549-0135
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RASENBERGER, VANKESTEREN & GETZ, DDS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty