Logan Aaron Dubnick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26435 Issued in FL

Practice address

9291 Glades Rd Ste 303
Boca Raton, FL 33434-3959

Phone

(561) 487-5757

NPI assigned

Sep 8, 2021

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael R Dubnick DMD PA

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1225838238
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1255000857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12718 TORBAY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284838",
            "telephone_number": "561-789-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GLADES RD STE 303",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343959",
            "telephone_number": "561-487-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBNICK",
        "first_name": "LOGAN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Drumm, APRN, FNP-C
• Konrad Drzymalski
• DSJ Boca, LLC (Blue Palm Care)
• Priti G Dubal, PHARM.D.
• Kimberly Dubner
• Michael Robert Dubnick, DMD
• Duboff Chiropractic Center, P.a.
• Lawrence Scott Duboff, D.C.
• Julia Duca, MD
• Silvana Rainuzzo Ducasse, LMHC

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.