Kids Dental Care, Llc in Bristol - Pediatric Dentistry

Kids Dental Care, Llc - NPI 1619171790

Kids Dental Care, Llc is a Pediatric Dentistry in Bristol, Connecticut. Kids Dental Care, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kids Dental Care, Llc is 1619171790. The last update date is 2013-07-03.

Kids Dental Care, Llc's current location address is 733 Terryville Ave, Bristol, Connecticut. You can contact this provider via phone number 8605840441 and fax number 8605168918. The mailing address for Kids Dental Care, Llc is 733 Terryville Ave, Bristol, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kids Dental Care, Llc
Address 733 Terryville Ave, Bristol, Connecticut
Phone Number 8605840441
Fax Number 8605168918
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Idlibi Ammar
Telephone Number 8605840441

NPI Number Detail

NPI Number 1619171790
Provider Enumeration Date 2007-06-13
Last Updated Date 2013-07-03

Provider Mailing Address Detail

Address 733 Terryville Ave
City Bristol
State Connecticut (CT)
Post Code 60104034
Phone Number 8605840441
Fax Number 8605168918

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 7893
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Kids Dental Care, Llc

What is the unique 10-digit identification code assigned to Kids Dental Care, Llc by the Centers for Medicare & Medicaid Services?

The Kids Dental Care, Llc has been issued the NPI (National Provider Identifier) 1619171790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kids Dental Care, Llc's facilities are geographically located?

The facilities of Kids Dental Care, Llc are physically situated at the following location: 733 Terryville Ave, Bristol, CT, 60104034.

What is Kids Dental Care, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kids Dental Care, Llc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619171790 to Kids Dental Care, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1619171790 to Kids Dental Care, Llc on 2007-06-13.

When was the information pertaining to Kids Dental Care, Llc most recently updated or revised?

The details related to Kids Dental Care, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-03.

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