Deena A Rassenfoss, DMD

Individual provider Active NPI General Practice Dentistry · Burlington, KY

NPI 1629035787 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1629035787
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7524 (KY)
Practice address
5495 N Bend Rd
Suite 103
Burlington, KY 41005-9378
Phone
(859) 689-9225
Fax
(859) 689-9201
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140127000515 KY Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
0840429643

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7524KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7524 KY Yes

Addresses

Primary practice location

5495 N Bend Rd
Suite 103
Burlington, KY 41005-9378

Mailing address

5495 N Bend Rd
Suite 103
Burlington, KY 41005-9378
Phone (859) 689-9225

Other providers in Burlington, KY

All providers in Burlington, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.