Advanced Aesthetic Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02947 Issued in RI

Legal business name

ADVANCED AESTHETIC DENTISTRY, PC

Practice address

85 Beach St
BLDG. D
Westerly, RI 02891-2717

Phone

(401) 596-7707

Fax

(401) 596-3645

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mourad Rahim, D.M.D.NPI 1740301167

Title

Owner

Phone

(401) 596-7707

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mourad Rahim, D.M.D.

  • General Practice Dentistry
  • Westerly, RI
  • NPI 1740301167
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215078563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "address_2": "BLDG. D",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-7707",
            "fax_number": "401-596-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "address_2": "BLDG. D",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-7707",
            "fax_number": "401-596-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AESTHETIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "MOURAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-596-7707",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Acosta, AGACNP
• Sue Adams-Labonte, PH.D.
• Shayla Ramseyer Adams, DPT
• Adult Day Center of Westerly Inc.
• Advance Physical Therapy, LLC
• Advanced Psychological Services
• Advanced Spine and Pain Management, Inc. (New England Spine Care)
• Paula M Agins, LICSW
• Jessica M. Aimone
• Jacquelyn Marie Aldrich, RN, IBCLC

• General Practice Dentistry in Westerly, RI
• Providers in Westerly, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.