42 North Dental Oral Surgery Of Ma, PLLC
Clinic/Center, Dental in Waltham, Massachusetts
1043979040- Practice location
- 200 5TH Ave Fl 3, Waltham, MA 02451-8759
- Phone
- 781-647-0772
- Fax
- —
- Last updated
- December 17, 2021
42 North Dental Oral Surgery Of Ma, PLLC is a healthcare organization based in Waltham, MA. 42 North Dental Oral Surgery Of Ma, PLLC practices in Waltham, MA. The NPI Number for 42 North Dental Oral Surgery Of Ma, PLLC is 1043979040. The current practice location address for 42 North Dental Oral Surgery Of Ma, PLLC is 200 5TH Ave Fl 3, Waltham, MA 02451-8759 and can be reached out via phone at 781-647-0772.
Provider Profile Details
- NPI Number
- 1043979040
- Provider Name
- 42 North Dental Oral Surgery Of Ma, PLLC
- Provider Entity Type
- Organization
- Address
- 200 5TH Ave Fl 3, Waltham, MA 02451-8759
- Phone Number
- 781-647-0772
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- Yes
- Parent Organization
- 42 North Dental Oral Surgery Of Ma, PLLC
- Authorized Official
- Dr. Michael Angelo Scialabba · Chief Clincal Officer · 561-512-2709
- Provider Enumeration Date
- December 17, 2021
- Last Update Date
- December 17, 2021
- Certification Date
- December 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 5TH Ave Fl 3
Waltham, MA 02451-8759 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-8759
- Phone Number
- 781-647-0772
Provider Business Mailing Address Details
- Address
- 200 5TH Ave Fl 3
Waltham, MA 02451-8759 - City
- Waltham
- State
- MA
- Zip
- 02451-8759
- Phone Number
- 781-647-0772
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 42 North Dental Oral Surgery Of Ma, PLLC?
The NPI number of 42 North Dental Oral Surgery Of Ma, PLLC is 1043979040. It was assigned on December 17, 2021 and is currently active in the NPPES registry.
What is the specialty of 42 North Dental Oral Surgery Of Ma, PLLC?
42 North Dental Oral Surgery Of Ma, PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does 42 North Dental Oral Surgery Of Ma, PLLC practice?
The practice location is 200 5TH Ave Fl 3, Waltham, MA 02451-8759. The office can be reached at 781-647-0772 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043979040 directly on the NPPES registry website.