Active NPIOrganization

42 North Dental Care Of Michigan, PLLC

Clinic/Center, Dental in Waltham, Massachusetts

NPI Number1124770417
Practice location
200 5TH Ave Fl 3, Waltham, MA 02451-8759
Fax
—
Last updated
January 19, 2022

42 North Dental Care Of Michigan, PLLC is a healthcare organization based in Waltham, MA. 42 North Dental Care Of Michigan, PLLC practices in Waltham, MA. The NPI Number for 42 North Dental Care Of Michigan, PLLC is 1124770417. The current practice location address for 42 North Dental Care Of Michigan, 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
1124770417
Provider Name
42 North Dental Care Of Michigan, 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 Care Of Michigan, PLLC
Authorized Official
Michael Angelo Scialabba · Chief Clinical Officer · 561-512-2709
Provider Enumeration Date
January 19, 2022
Last Update Date
January 19, 2022
Certification Date
January 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 5TH Ave Fl 3
Waltham, MA 02451-8759
Zip
02451-8759
Phone Number
781-647-0772
Waltham, MA 02451Get directions →

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

IdentifierTypeStateIssuer
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 Care Of Michigan, PLLC?

The NPI number of 42 North Dental Care Of Michigan, PLLC is 1124770417. It was assigned on January 19, 2022 and is currently active in the NPPES registry.

What is the specialty of 42 North Dental Care Of Michigan, PLLC?

42 North Dental Care Of Michigan, PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does 42 North Dental Care Of Michigan, 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 1124770417 directly on the NPPES registry website.

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