Organization
ANTHONY J. TILELLI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J TILELLI DDS (OWNER)
(401) 828-2400
Entity
Organization
Contact information
Practice address
336 COWESETT AVE, WEST WARWICK, RI 02893-2222
(401) 828-2400
(401) 828-0051
Mailing address
336 COWESETT AVE, WEST WARWICK, RI 02893-2222
(401) 828-2400
(401) 828-0051
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1731
RI
1223P0221X
Pediatric Dentistry
3116
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8435-4
BLUE CROSS DENTAL
RI
05
—
AT02637
—
RI
Enumeration date
08/29/2013
Last updated
08/29/2013
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