Provider Demographics
NPI:1437010246
Name:RASMUSSEN FAMILY DENTAL NORTH LLC
Entity type:Organization
Organization Name:RASMUSSEN FAMILY DENTAL NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-731-0084
Mailing Address - Street 1:17968 N TAMIAMI TRL STE 165
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-1418
Mailing Address - Country:US
Mailing Address - Phone:239-731-0084
Mailing Address - Fax:
Practice Address - Street 1:17968 N TAMIAMI TRL STE 165
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-1418
Practice Address - Country:US
Practice Address - Phone:239-731-0084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty