MEDICARE: DR. GIACINTO FRANK RUBINO D.D.S.

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	122300000X	Dentist	DE29441	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149800577	OTHER	CA	AMERICAN DENTAL ASSOCIATION
2	DE29441	OTHER	CA	DENTAL LICENSE

General Provider Information

NPI Number	:	1639155526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIACINTO FRANK RUBINO D.D.S.

Provider Business Mailing Address
First Line	:	446 C ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-2608
Country	:	US
Telephone Number	:	559-924-2520
Fax Number	:	559-443-7262

Provider Business Practice Location Address
First Line	:	446 C ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-2608
Country	:	US
Telephone Number	:	559-924-2520
Fax Number	:	559-443-7262

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	03/07/2023

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