MEDICARE: A T DENTAL LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1861356743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A T DENTAL LLC

Provider Business Mailing Address
First Line	:	200 TOLL GATE RD STE 102
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4440
Country	:	US
Telephone Number	:	719-966-9147
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 TOLL GATE RD STE 104
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4487
Country	:	US
Telephone Number	:	401-737-9363
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AHMED TAREK ABDELAAL
Credential	:
Telephone Number	:	719-966-9147

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “A T DENTAL LLC ” Practice Location

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