KIDS DENTAL CARE NEW BRITAIN, LLC (NPI# 1558727131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558727131 |
| Entity Type | Organization |
| Organization Name | KIDS DENTAL CARE NEW BRITAIN, LLC |
| Practice Address |
1141 Stanley St New Britain CT 06051-1507 |
| Practice Telephone | 8605840441 |
| Practice Fax Number | 8605168918 |
| Mailing Telephone | 8605840441 |
| Mailing Fax Number | 8605168918 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DR. AMMAR IDLIBI (OWNER) |
| Authorized Official Telephone | 8605840441 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7893 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7893 | CT | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7893 | CT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7893 | CT | Dental Providers |
| Street Address |
1141 STANLEY ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06051-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956211 | Diligent Service Providers LLC | Non-emergency Medical Transport (VAN) | 110 Austin St, New Britain, CT 06051 | 2019-01-29 |
| 1619440732 | Charter Oak Dental Center Ll LLC | Dentist | 165 East Main Street, New Britain, CT 06051 | 2019-01-11 |
| 1891243200 | Dora Avila | Contractor | 1270 Stanley Street, New Britain, CT 06051 | 2016-09-14 |
| 1972904779 | Jillian Mcnally | Social Worker | 270 John Downey Drive, New Britain, CT 06051 | 2014-09-11 |
| 1174931539 | Human Resources Agency of New Britain, Inc. | Community/Behavioral Health | 83 Whiting Street, New Britain, CT 06051 | 2014-07-30 |
| 1063847127 | Jessica Annette Antunes | Counselor | 55 Wintrop St, New Briain, CT 06051 | 2013-09-09 |
| 1902196991 | John J Widlak | Dentist | 35 Pearl St., New Britain, CT 06051 | 2011-04-12 |
| 1568691178 | Farah I Khan | Dentist | 105 Myrtle Avenue, New Britain, CT 06051 | 2009-07-06 |
| 1619114410 | Patricia Blecich Dobie | Counselor | 321 Ellis Street, Ste 3, Today's Youth, LLC, New Britain, CT 06051 | 2009-01-15 |
| 1669627568 | Claudia Ripinski Janusko | Audiologist | 292 West Main St., Grove Hill Medical Center, New Britain, CT 06051 | 2008-11-20 |
| Find all providers in zip 06051 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315355 | Jason Leung | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2008-07-30 |
| 1609076256 | Silvia Lobo Lobo | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2007-07-23 |
| 1396898847 | Pediatric Dentistry, P.C. | Dentist | 1 Lake St, Building B, New Britain, CT 06052-1396 | 2007-01-19 |
| 1689727109 | Walter Fred Thal | Dentist | 1 Lake St, Building B, New Britain, CT 06052-1396 | 2007-01-19 |
| 1922151463 | Eduardo Rostenberg | Dentist | 1 Lake St, Building B, New Britain, CT 06052-1396 | 2007-01-19 |
| 1487707949 | Celeste Wegrzyn | Dentist | 1 Lake St, Building B, New Britain, CT 06052-1396 | 2007-01-19 |
| 1912904640 | Michael Mark | Dentist | 1 Washington Sq, New Britain, CT 06051-1848 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06051 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.