MEDICARE: DR. JESSICA EXELBERT RUBIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DEN1000864	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326163320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA EXELBERT RUBIN DDS

Provider Business Mailing Address
First Line	:	4200 WISCONSIN AVE NW
Second Line	:	SUITE 240
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2143
Country	:	US
Telephone Number	:	202-545-7200
Fax Number	:	202-545-7220

Provider Business Practice Location Address
First Line	:	4200 WISCONSIN AVE NW
Second Line	:	SUITE 240
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2143
Country	:	US
Telephone Number	:	202-545-7200
Fax Number	:	202-545-7220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	05/23/2025

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