Kids Dental Care, LLC
NPI 1619171790ActiveOrganization· Dentist, Pediatric Dentistry· Bristol, CT
Dentist, Pediatric Dentistry in Bristol, Connecticut, registered in NPPES in June 2007. The authorized official on file is Ammar Idlibi, Owner.
Overview
| NPI | 1619171790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | Jul 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 7893 | CT |
| Dentist, Dentist Anesthesiologist Speciality | 1223D0004X | 6903 | CT |
| Dentist, General Practice | 1223G0001X | 10813 | CT |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 008462 | CT |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10740 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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