Albert Atalla Khalil, D.D.S.
Individual provider Active NPI General Practice Dentistry · South River, NJ
NPI 1861521221 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861521221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI01943000 (NJ)
- Practice address
- 29 Kamm Ave
South River, NJ 08882-2126 - Phone
- (732) 257-4749
- Fax
- (732) 257-6245
- NPI assigned
- Mar 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01943000 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01943000 | NJ | Yes |
Addresses
Primary practice location
29 Kamm Ave
South River, NJ 08882-2126
Mailing address
29 Kamm Ave
South River, NJ 08882-2126
Phone (732) 257-4749
Other providers in South River, NJ
- Isi Igiebor
- J&D Medical Transportation LLC
- Jersey Hospitalist LLC
- Wendell Sebastian Johnson
- Desiree Joseph-Jarvis
- Samavia Khan
- Maria Koutsoupias
- Cynthia Kozicki
- Sigmund Lewis Kulessa Jr.
- Jean Claude Laborde
All providers in South River, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.