MEDICARE: DR. ALBERT ATALLA KHALIL D.D.S.

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	22DI01943000	NJ

General Provider Information

NPI Number	:	1861521221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT ATALLA KHALIL D.D.S.

Provider Business Mailing Address
First Line	:	29 KAMM AVE
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2126
Country	:	US
Telephone Number	:	732-257-4749
Fax Number	:	732-257-6245

Provider Business Practice Location Address
First Line	:	29 KAMM AVE
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2126
Country	:	US
Telephone Number	:	732-257-4749
Fax Number	:	732-257-6245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598130965 — SARAH MCDONNELL LLC
Practice Location Address:

512 CASCADE AVE , SUITE 100
HOOD RIVER, OR
97031-2126

Practice Phone: 541-716-1316
Practice Fax:

1174075923 — BRITTANIE TAYLOUR BARRY
Practice Location Address:

801 HARDING AVE
IRON RIVER, MI
49935-2126

Practice Phone: 920-883-1087
Practice Fax:

1659869287 — JOHN SELL
Practice Location Address:

512 CASCADE AVE STE 100
HOOD RIVER, OR
97031-2126

Practice Phone: 314-306-7457
Practice Fax:

1336974484 — MR. CHRISTOPHER ERNESTO AZEVEDO
Practice Location Address:

111 DURFEE ST
FALL RIVER, MA
02720-2126

Practice Phone: 508-984-4155
Practice Fax: 508-994-4514

1407735145 — DEVORA ITA KLUGMAN DOULA
Practice Location Address:

1312 TODD RD
TOMS RIVER, NJ
08755-2126

Practice Phone: 347-546-9307
Practice Fax:

1700956711 — GRIFFIN SPALDING COUNTY CO SCHOOL SYSTEM
Practice Location Address:

2126 SOUTH SIXTH STREET
GRIFFIN, GA
30223

Practice Phone: 800-565-2162
Practice Fax:

Directions to “ DR. ALBERT ATALLA KHALIL D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.