Individual provider · Type 1 NPI

Ammar Idlibi, D.M.D

Pediatric Dentistry · Bristol, CT

NPI number 1376569012 Active

Practice location

733 Terryville Ave
Bristol, CT 06010-4034

Fax (860) 516-8918

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XP07893 (CT)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XPO7893 (CT)

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.

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About NPI 1376569012

Ammar Idlibi, D.M.D's National Provider Identifier is 1376569012, issued on Jul 14, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bristol, CT. The record was last updated on Oct 14, 2008.