Active NPIOrganization

42 North Dental Care, LLC

Clinic/Center, Dental in Mansfield, Massachusetts

NPI Number1134693955
Practice location
292 Chauncy St # 150, Mansfield, MA 02048-1203
Fax
—
Last updated
June 21, 2021

42 North Dental Care, LLC is a healthcare organization based in Mansfield, MA. 42 North Dental Care, LLC practices in Mansfield, MA. The NPI Number for 42 North Dental Care, LLC is 1134693955. The current practice location address for 42 North Dental Care, LLC is 292 Chauncy St # 150, Mansfield, MA 02048-1203 and can be reached out via phone at 781-647-0772.

Provider Profile Details

NPI Number
1134693955
Provider Name
42 North Dental Care, LLC
Provider Entity Type
Organization
Address
292 Chauncy St # 150, Mansfield, MA 02048-1203
Phone Number
781-647-0772
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
Yes
Parent Organization
42 North Dental Care, LLC
Authorized Official
Dr. Michael Angelo Scialabba, DDS · Chief Clinical Officer · 561-512-2709
Other Names
Dynamic Dental (Doing Business As)
Provider Enumeration Date
January 15, 2019
Last Update Date
June 21, 2021
Certification Date
June 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
292 Chauncy St # 150
Mansfield, MA 02048-1203
Zip
02048-1203
Phone Number
781-647-0772
Mansfield, MA 02048Get 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, LLC?

The NPI number of 42 North Dental Care, LLC is 1134693955. It was assigned on January 15, 2019 and is currently active in the NPPES registry.

What is the specialty of 42 North Dental Care, LLC?

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

Where does 42 North Dental Care, LLC practice?

The practice location is 292 Chauncy St # 150, Mansfield, MA 02048-1203. 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 1134693955 directly on the NPPES registry website.

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