Organization
DRACUT DENTAL GROUP (FORMERLY ZELTAN&RUBN PC)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE J. RUBIN DMD (PRESIDENT)
(978) 957-4747
Entity
Organization
Contact information
Practice address
465 NASHUA RD, DRACUT, MA 01826
(978) 957-4747
(978) 957-5662
Mailing address
465 NASHUA RD, DRACUT, MA 01826
(978) 957-4747
(978) 957-5662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11984
MA
1223G0001X
General Practice Dentistry
15490
MA
1223G0001X
General Practice Dentistry
Primary
18369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631
DELTA DENTAL
MA
01
—
X04682
BLUE CROSS
MA
01
—
X10717
BLUE CROSS
MA
Enumeration date
02/08/2007
Last updated
08/25/2016
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