Provider Demographics
NPI:1801786512
Name:SHELLY LEVIN-RUBIN, PLLC
Entity type:Organization
Organization Name:SHELLY LEVIN-RUBIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN-RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-571-0008
Mailing Address - Street 1:21301 POWERLINE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2390
Mailing Address - Country:US
Mailing Address - Phone:561-571-0008
Mailing Address - Fax:561-571-0166
Practice Address - Street 1:21301 POWERLINE RD STE 210
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2390
Practice Address - Country:US
Practice Address - Phone:561-571-0008
Practice Address - Fax:561-571-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental