SOUTHEASTERN DENTAL ASSOCIATES I (NPI# 1154400497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154400497 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN DENTAL ASSOCIATES I |
| Practice Address |
200 Knuth Road Suite 106 Boynton Beach FL 33436 |
| Practice Telephone | 5617389007 |
| Practice Fax Number | 5617389963 |
| Mailing Telephone | 5617389007 |
| Mailing Fax Number | 5617389963 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH D RUBINSTEIN (CO OWNER) |
| Authorized Official Telephone | 5617389007 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DN14485 | FL | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN15761 | FL | Dental Providers |
| Street Address |
200 KNUTH ROAD SUITE 106 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548493380 | Bec Treatment & Transitional Center, Inc. | Substance Abuse Rehabilitation Facility | 200 Knuth Road, Suite 220, Boynton Beach, FL 33436 | 2009-08-27 |
| 1609936277 | Alexander I Wang | Dentist | 200 Knuth Road, Suite #106, Boynton Beach, FL 33436 | 2006-12-12 |
| 1972698272 | Connie J Rieser | Dietitian, Registered | 200 Knuth Road, 242, Boynton Beach, FL 33436 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
| 1619136298 | Lonnie Scott Rattner | Dentist | 3717 West Boynton Beach Blvd., Suite #6, Boynton Beach, FL 33436 | 2008-06-09 |
| 1144380189 | Kenneth D Rubinstein | Dentist | 10075 S Jog Rd Ste 108, Boynton Beach, FL 33437-3532 | 2006-12-11 |
| 1760552038 | Craig M Hescheles Dmd Pa | Dentist | 8190 Jog Rd, Ste 210, Boynton Beach, FL 33472-2914 | 2006-11-08 |
| 1205140407 | Craig M Hescheles | Dentist | 8190 Jog Rd, Suite 210, Boynton Beach, FL 33472-2912 | 2010-07-29 |
| 1609936277 | Alexander I Wang | Dentist | 200 Knuth Road, Suite #106, Boynton Beach, FL 33436 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
| 1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
| 1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
| 1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
| 1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
| 1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
| 1730660937 | Dana Walid Al Hashimi | Dentist | 1452 Nw 132nd Ave, Pembroke Pines, FL 33028-2740 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
Please comment or provide details below to improve the information on SOUTHEASTERN DENTAL ASSOCIATES I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.