Provider Demographics
NPI:1912004383
Name:RUBENSTRUNK, JOHN M (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:RUBENSTRUNK
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9094 E. MINERAL AVE.
Mailing Address - Street 2:#240
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-7200
Mailing Address - Country:US
Mailing Address - Phone:303-799-1872
Mailing Address - Fax:303-799-3760
Practice Address - Street 1:9094 E. MINERAL AVE.
Practice Address - Street 2:#240
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-7200
Practice Address - Country:US
Practice Address - Phone:303-799-1872
Practice Address - Fax:303-799-3760
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry