DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIDS DENTAL CARE NEW BRITAIN, LLC

MEDICARE: KIDS DENTAL CARE NEW BRITAIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7893CT
21223G0001XGeneral Practice Dentistry7893CT
31223X0400XOrthodontics and Dentofacial Orthopedics Dentistry7893CT
41223P0221XPediatric Dentistry7893CT

General Provider Information

NPI Number : 1558727131
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDS DENTAL CARE NEW BRITAIN, LLC
Provider Business Mailing Address
First Line : 1141 STANLEY ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-1507
Country : US
Telephone Number : 860-584-0441
Fax Number : 860-516-8918
Provider Business Practice Location Address
First Line : 1141 STANLEY ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-1507
Country : US
Telephone Number : 860-584-0441
Fax Number : 860-516-8918
Authorized Official
Title or Position : OWNER
Name : DR. AMMAR IDLIBI
Credential : DMD
Telephone Number : 860-584-0441
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/12/2016

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:
10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314
Practice Phone: 212-420-2757
Practice Fax:
1578657391 — DR. KYUNG HWAN HONG O.D.
Practice Location Address:
405 HARTFORD RD
NEW BRITAIN, CT
06053-1507
Practice Phone: 860-893-7016
Practice Fax: 860-893-7017
1134734171 — RUKHA EYE CARE, LLC
Practice Location Address:
405 HARTFORD RD
NEW BRITAIN, CT
06053-1507
Practice Phone: 413-459-5956
Practice Fax:
1245810704 — MS. VANESSA BYS
Practice Location Address:
405 HARTFORD RD
NEW BRITAIN, CT
06053-1507
Practice Phone: 860-893-7011
Practice Fax:
1851055230 — DAVID WU
Practice Location Address:
405 HARTFORD RD
NEW BRITAIN, CT
06053-1507
Practice Phone: 860-893-7011
Practice Fax:
1447992946 — JESSICA GODIN
Practice Location Address:
405 HARTFORD RD
NEW BRITAIN, CT
06053-1507
Practice Phone: 860-893-7011
Practice Fax:

Directions to “KIDS DENTAL CARE NEW BRITAIN, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.