Provider Demographics
NPI:1326565128
Name:ALGHFELI, ABDULLA MOHAMMED (BDS)
Entity Type:Individual
Prefix:MR
First Name:ABDULLA
Middle Name:MOHAMMED
Last Name:ALGHFELI
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND STREET
Mailing Address - Street 2:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, 12TH FLOOR,
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-6591
Mailing Address - Fax:
Practice Address - Street 1:PROTHODONTICS - TUFTS UNIVERSITY SCHOOL OF DENTAL MEDIC
Practice Address - Street 2:1 KNEELAND STREET, 12TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-6591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:2018-03-27
Deactivation Code:
Reactivation Date:2018-05-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program