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NPI Code Detail

MEDICARE: A T DENTAL LLC

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
1122300000XDentist

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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