Advanced Aesthetic Dentistry, PC

Organization Active NPI General Practice Dentistry · Westerly, RI

NPI 1215078563 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215078563
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN02947 (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
Organization subpart
No

Authorized official

Name
Mourad Rahim, D.M.D.
Title
Owner
Phone
(401) 596-7707

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DEN02947 RI Yes

Addresses

Primary practice location

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

Mailing address

85 Beach St
BLDG. D
Westerly, RI 02891-2717
Phone (401) 596-7707

Other providers in Westerly, RI

All providers in Westerly, RI · General Practice Dentistry in Rhode Island

Sources for this page

Verify at the official NPI Registry.