IndividualActive
Kevin Rasmussen, DDS
NPI 1861719254 · Oral and Maxillofacial Surgery (Dentist) · Patrick Afb, FL
Provider details
- NPI number
- 1861719254
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DD3621 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
1380 S Patrick Dr
Patrick Afb, FL 32925-3621
Phone: (321) 494-2184
Approximate (ZIP-level) locationGet directions
Mailing address
1380 S Patrick Dr
Patrick Afb, FL 32925-3621
Additional practice locations (2)
- Brooke Army Medical Center3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (210) 916-5586
- Wilford Hall Ambulatory Surgical Center1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236Phone: (210) 859-8082
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.