# SOUTHAMPTON DENTAL SMILES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851161129
- **Authorized official:** BORIS RUBINSTEIN DMD (MEMBER)
- **Authorized official phone:** (215) 431-6207

## Contact information

- **Practice address:** 626 STREET RD, SOUTHAMPTON, PA 18966-3754
- **Practice address phone:** (215) 953-6626
- **Practice address fax:** (215) 953-6627
- **Mailing address:** 626 STREET RD, SOUTHAMPTON, PA 18966-3754
- **Mailing address phone:** (215) 953-6626
- **Mailing address fax:** (215) 953-6627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 01/08/2024