Active NPIOrganization

Kids Dental Care, LLC

Dentist, Pediatric Dentistry in Bristol, Connecticut

NPI Number1619171790
Practice location
733 Terryville Ave, Bristol, CT 06010-4034
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
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)
6903
License State (1)
CT
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
License Number (5)
7893
License State (5)
CT
Taxonomy (5)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

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 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.

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