Michael L Rubinstein, D.D.S.
Individual provider Active NPI General Practice Dentistry · Providence, RI
NPI 1164517959 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164517959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1425 (RI)
- Practice address
- 362 Ives St
Providence, RI 02906-3929 - Phone
- (401) 861-4358
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1425 | RI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Dental Sleep Center LLC | Past |
Accepting new patients | |
| Mahra B. Rubinstein, DDS & Robert J. Ducoff, DMD, Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1425 | RI | Yes |
Addresses
Primary practice location
362 Ives St
Providence, RI 02906-3929
Mailing address
362 Ives St
Providence, RI 02906-3929
Phone (401) 861-4358
Other providers in Providence, RI
- Kaitlyn Ruane
- Jonathan Rubin
- Leah Rubin
- Lowell J. Rubin
- Mahra B Rubinstein
- W. Bruce Ruby II
- Peter Rudden
- Rachel Ruderman-Looff
- Jody Rudnick
- Stephanie M. Ruest
All providers in Providence, RI · General Practice Dentistry in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.