Individual
DR. ANTHONY J TILELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
336 COWESETT AVE, WEST WARWICK, RI 02893
(401) 828-2400
(401) 828-0051
Mailing address
336 COWESETT AVE, WEST WARWICK, RI 02893
(401) 828-2400
(401) 828-0051
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1731
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84354
BCBS
RI
05
—
AT02637
—
RI
Enumeration date
03/10/2006
Last updated
07/08/2007
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