Active NPIIndividual provider

Ammar Idlibi, DMD

Dentist, Pediatric Dentistry in Bristol, Connecticut

NPI Number1376569012
Practice location
733 Terryville Ave, Bristol, CT 06010-4034
Fax
860-516-8918
Last updated
October 14, 2008

Ammar Idlibi is a Dentist, Pediatric Dentistry based in Bristol, CT. Ammar Idlibi practices in Bristol, CT and has the professional credentials of DMD. The NPI Number for Ammar Idlibi is 1376569012 and holds a License No. P07893 (CT). The current practice location address for Ammar Idlibi is 733 Terryville Ave, Bristol, CT 06010-4034 and can be reached out via phone at 860-584-0441 and via fax at 860-516-8918.

Provider Profile Details

NPI Number
1376569012
Provider Name
Ammar Idlibi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
733 Terryville Ave, Bristol, CT 06010-4034
Phone Number
860-584-0441
Fax Number
860-516-8918
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2006
Last Update Date
October 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
733 Terryville Ave
Bristol, CT 06010-4034
Zip
06010-4034
Phone Number
860-584-0441
Fax Number
860-516-8918
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
733 Terryville Ave
Bristol, CT 06010-4034
City
Bristol
State
CT
Zip
06010-4034
Phone Number
860-584-0441
Fax Number
860-516-8918

License Information

License Number (1)
P07893
License State (1)
CT
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (2)
PO7893
License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ammar Idlibi, DMD?

The NPI number of Ammar Idlibi, DMD is 1376569012. It was assigned on July 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Ammar Idlibi, DMD?

Ammar Idlibi, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number P07893.

Where does Ammar Idlibi, DMD practice?

The practice location is 733 Terryville Ave, Bristol, CT 06010-4034. The office can be reached at 860-584-0441 (phone) or 860-516-8918 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376569012 directly on the NPPES registry website.

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