SOUTHEASTERN DENTAL ASSOCIATES I


Address: 200 Knuth Road, Suite 106, Boynton Beach, FL 33436
Phone: 5617389007

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 200 KNUTH ROAD
SUITE 106
City BOYNTON BEACH
State FL
Zip Code 33436

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BOYNTON BEACH
Zip Code 33436

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Dataset Information

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.

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