Organization Active NPI

Southampton Dental Smiles

  • Dentist
  • Southampton, PA
National Provider Identifier
1851161129
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUTHAMPTON DENTAL SMILES
Practice address
626 Street Rd
Southampton, PA 18966-3754
Phone
(215) 953-6626
Fax
(215) 953-6627
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Boris Rubinstein, DMD
Title
Member
Phone
(215) 431-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

626 Street Rd
Southampton, PA 18966-3754

Mailing address

626 Street Rd
Southampton, PA 18966-3754
Phone (215) 953-6626

National Provider Directory

National Provider Directory

Locations

626 Street Rd
Southampton, PA 18966
Phone (215) 953-6626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1851161129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663754",
            "telephone_number": "215-953-6626",
            "fax_number": "215-953-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663754",
            "telephone_number": "215-953-6626",
            "fax_number": "215-953-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-431-6207",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.