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SOUTHEASTERN DENTAL ASSOCIATES I
NPI 1154400497
Dentist - Periodontics in Boynton Beach, FL

Active since November 06, 2006
200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436(561) 738-9007(561) 738-9963 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeastern Dental Associates I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN DENTAL ASSOCIATES I (NPI 1154400497) is a healthcare organization registered as a periodontics in Boynton Beach, Florida and active in the NPI registry since November 2006. The organization lists Kenneth D Rubinstein, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1154400497
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSOUTHEASTERN DENTAL ASSOCIATES I
Location Address200 KNUTH ROAD, SUITE 106Boynton Beach, FL 33436
Mailing Address200 Knuth Road, Suite 106Boynton Beach, FL 33436 · (561) 738-9007 · Fax (561) 738-9963
Phone(561) 738-9007
Fax(561) 738-9963
Organization SubpartNo
Authorized OfficialKenneth D RubinsteinCo Owner · (561) 738-9007
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154400497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in FL · DN15761✔ Licensed in FL · DN14485
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
200 KNUTH ROAD, Boynton Beach, FL 33436
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH D RUBINSTEIN DMD
Dentist (Periodontics)
200 KNUTH ROAD, SUITE 106
BOYNTON BEACH, FL 33436
Palm Beach County (561) 738-9007
BEC TREATMENT & TRANSITIONAL CENTER, INC.
Substance Abuse Rehabilitation Facility
200 KNUTH ROAD, SUITE 220
BOYNTON BEACH, FL 33436
Palm Beach County (561) 336-6078
DR. ALEXANDER I WANG DMD
Dentist (Periodontics)
200 KNUTH ROAD, SUITE #106
BOYNTON BEACH, FL 33436
Palm Beach County (561) 738-9007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Dental Associates I's NPI number?

The NPI number for Southeastern Dental Associates I is 1154400497. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Southeastern Dental Associates I located?

Southeastern Dental Associates I is located at 200 Knuth Road Suite 106, Boynton Beach, FL 33436. The listed phone number is (561) 738-9007.

What is Southeastern Dental Associates I's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Southeastern Dental Associates I was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.