MEDICARE: C AND A DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427982552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C AND A DENTAL PLLC

Provider Business Mailing Address
First Line	:	380 N. BROADWAY
Second Line	:	SUITE #410
City	:	JERICHO
State	:	NY
Zip	:	11753
Country	:	US
Telephone Number	:	631-889-1864
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 N. BROADWAY
Second Line	:	SUITE #410
City	:	JERICHO
State	:	NY
Zip	:	11753
Country	:	US
Telephone Number	:	631-889-1864
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER-PARTNER
Name	:	RAHILA AHMED
Credential	:	DDS
Telephone Number	:	631-889-1864

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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