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NPI Code Detail

MEDICARE: DR. NORMAN MARK RUBIN DDS

MEDICARE: DR. NORMAN MARK 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
11223G0001XGeneral Practice Dentistry1809AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21750326849OTHERNPI TYPE 2

General Provider Information

NPI Number : 1386790046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMAN MARK RUBIN DDS
Provider Business Mailing Address
First Line : 8975 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1318
Country : US
Telephone Number : 520-886-6054
Fax Number : 520-886-6571
Provider Business Practice Location Address
First Line : 8975 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1318
Country : US
Telephone Number : 520-886-6054
Fax Number : 520-886-6571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/09/2007

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Directions to “ DR. NORMAN MARK RUBIN DDS” Practice Location

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