Provider Demographics
NPI:1548203243
Name:RUBENSTEIN, DANIEL FOSTER (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FOSTER
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S HIGHLAND AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3949
Mailing Address - Country:US
Mailing Address - Phone:412-362-9012
Mailing Address - Fax:412-362-9661
Practice Address - Street 1:201 S HIGHLAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3949
Practice Address - Country:US
Practice Address - Phone:412-362-9012
Practice Address - Fax:412-362-9661
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS071213-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice