Provider Demographics
NPI:1952445611
Name:RUBIN, KEVIN A (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:A
Last Name:RUBIN
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 1:1070 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3400
Mailing Address - Country:US
Mailing Address - Phone:781-585-0290
Mailing Address - Fax:
Practice Address - Street 1:154 HIGH ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3556
Practice Address - Country:US
Practice Address - Phone:508-880-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187751223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics