Provider Demographics
NPI:1154543304
Name:DAVID H.LUBIN,DMD,PC
Entity type:Organization
Organization Name:DAVID H.LUBIN,DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:LUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-791-3410
Mailing Address - Street 1:470 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609
Mailing Address - Country:US
Mailing Address - Phone:508-791-3410
Mailing Address - Fax:508-791-8375
Practice Address - Street 1:470 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609
Practice Address - Country:US
Practice Address - Phone:508-791-3410
Practice Address - Fax:508-791-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty