Provider Demographics
NPI:1083408884
Name:MODERN TOUCH DENTAL PC
Entity type:Organization
Organization Name:MODERN TOUCH DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-288-8729
Mailing Address - Street 1:426 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1431
Mailing Address - Country:US
Mailing Address - Phone:516-744-6740
Mailing Address - Fax:
Practice Address - Street 1:426 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1431
Practice Address - Country:US
Practice Address - Phone:516-744-6740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental