MEDICARE: SOUTHEASTRERN DENTAL ASSOC, VII, PA

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	1223P0300X	Periodontics	DN 14485	FL

General Provider Information

NPI Number	:	1669703443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHEASTRERN DENTAL ASSOC, VII, PA

Provider Business Mailing Address
First Line	:	2482 SW 27TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3119
Country	:	US
Telephone Number	:	305-859-7949
Fax Number	:	305-866-7127

Provider Business Practice Location Address
First Line	:	2482 SW 27TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3119
Country	:	US
Telephone Number	:	305-859-7949
Fax Number	:	305-866-7127

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KENNETH D RUBINSTEIN
Credential	:	D.M.D
Telephone Number	:	305-866-7127

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1942563325 — CHRISTINA WEI-JING WANG DMD
Practice Location Address:

2482 SW 27TH TER
COCONUT GROVE, FL
33133-3119

Practice Phone: 305-859-7949
Practice Fax:

1003550328 — RACHEL NICHOLE CLARKE
Practice Location Address:

1651 NW 119TH ST
NORTH MIAMI, FL
33167-3119

Practice Phone: 954-440-6260
Practice Fax: 305-391-3025

1770522963 — JOSE R MARTIN MD
Practice Location Address:

3119 CORAL WAY UNIT 3121A
MIAMI, FL
33145-3294

Practice Phone: 786-360-3213
Practice Fax:

1669490595 — LAJAS MEDICAL SUPPLY CORP
Practice Location Address:

622 SW 22ND AVE
MIAMI, FL
33135-3119

Practice Phone: 305-644-8300
Practice Fax: 305-644-8828

1144454539 — EDUARDO QUESADA MD PA
Practice Location Address:

11441 SW 104TH ST
MIAMI, FL
33176-3119

Practice Phone: 305-342-5249
Practice Fax: 305-275-9435

Directions to “SOUTHEASTRERN DENTAL ASSOC, VII, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.