National Provider Identifier
Max Izak Dubin, DMD
Max Izak Dubin, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Ithaca, NY and a listed phone number of (607) 272-3433.
Profile Overview
- NPI
- 1821526641
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 24, 2017
- Last Updated
- May 23, 2023
Practice Location
- 2333 N Triphammer RD Ste 304
- Ithaca, NY 14850-1075
Phone: (607) 272-3433
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1821526641
- Entity Type
- Individual
- Last Name
- Dubin
- First Name
- Max
- Middle Name
- Izak
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 2333 N Triphammer RD Ste 304
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1075
- Mailing Country
- US
- Mailing Phone
- (607) 272-3433
- Practice Street Address
- 2333 N Triphammer RD Ste 304
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1075
- Practice Country
- US
- Practice Phone
- (607) 272-3433
- Enumeration Date
- May 24, 2017
- Last Updated
- May 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)