Kids Dental Care, LLC
Dentist, Pediatric Dentistry in Bristol, Connecticut
1619171790- Practice location
- 733 Terryville Ave, Bristol, CT 06010-4034
- Phone
- 860-584-0441
- Fax
- 860-516-8918
- Last updated
- July 3, 2013
Kids Dental Care, LLC is a healthcare organization based in Bristol, CT. Kids Dental Care, LLC practices in Bristol, CT. The NPI Number for Kids Dental Care, LLC is 1619171790 and holds a License No. 6903 (CT). The current practice location address for Kids Dental Care, LLC 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
- 1619171790
- Provider Name
- Kids Dental Care, LLC
- Provider Entity Type
- Organization
- Address
- 733 Terryville Ave, Bristol, CT 06010-4034
- Phone Number
- 860-584-0441
- Fax Number
- 860-516-8918
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Ammar Idlibi · Owner · 860-584-0441
- Provider Enumeration Date
- June 13, 2007
- Last Update Date
- July 3, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 733 Terryville Ave
Bristol, CT 06010-4034 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-4034
- Phone Number
- 860-584-0441
- Fax Number
- 860-516-8918
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)
- 6903
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Dentist Anesthesiologist Speciality · 1223D0004X
- License Number (2)
- 10813
- License State (2)
- CT
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License Number (3)
- 008462
- License State (3)
- CT
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (4)
- 10740
- License State (4)
- CT
- Taxonomy (4)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (5)
- 7893
- License State (5)
- CT
- Taxonomy (5)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Bristol, CT
View all Dentist, Pediatric Dentistry providers in Bristol →- Ammar Idlibi, DMDDentist, Pediatric Dentistry · NPI 1376569012
- Dr. Aurora DegolladoDentist, Pediatric Dentistry · NPI 1295021715
- Dr. Howard J Posner, DDSDentist, Pediatric Dentistry · NPI 1083800403
- Dr. Matthew T Goslee, DMD, MPHDentist, Pediatric Dentistry · NPI 1063539765
- Dr. Patricia M Pina, DDSDentist, Pediatric Dentistry · NPI 1871791541
- Mr. Joseph R GuzzardiDentist, Pediatric Dentistry · NPI 1730487976
Frequently Asked Questions
What is the NPI number of Kids Dental Care, LLC?
The NPI number of Kids Dental Care, LLC is 1619171790. It was assigned on June 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Kids Dental Care, LLC?
Kids Dental Care, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 6903.
Where does Kids Dental Care, LLC 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 1619171790 directly on the NPPES registry website.