NPI 1215078563 · live from the CMS NPI Registry
Advanced Aesthetic Dentistry, PC
Dentist, General Practice in Westerly, RI. National Provider Identifier 1215078563, active.
NPI record
| NPI | 1215078563 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 85 Beach St, Bldg. D, Westerly, RI 02891 |
| Practice phone | 401-596-7707 |
| Enumerated | February 9, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Mourad Rahim, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DEN02947 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.