42 North Dental Care, LLC
Dentist in Waltham, Massachusetts
1205868098- Practice location
- 200 5TH Ave, Waltham, MA 02451-8779
- Phone
- 781-647-0772
- Fax
- 781-647-1086
- Last updated
- June 21, 2021
42 North Dental Care, LLC is a healthcare organization based in Waltham, MA. 42 North Dental Care, LLC practices in Waltham, MA. The NPI Number for 42 North Dental Care, LLC is 1205868098 and holds a License No. 13328 (MA). The current practice location address for 42 North Dental Care, LLC is 200 5TH Ave, Waltham, MA 02451-8779 and can be reached out via phone at 781-647-0772 and via fax at 781-647-1086.
Provider Profile Details
- NPI Number
- 1205868098
- Provider Name
- 42 North Dental Care, LLC
- Provider Entity Type
- Organization
- Address
- 200 5TH Ave, Waltham, MA 02451-8779
- Phone Number
- 781-647-0772
- Fax Number
- 781-647-1086
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Angelo Scialabba, DDS · Chief Clinical Officer · 561-512-2709
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- June 21, 2021
- Certification Date
- June 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 5TH Ave
Waltham, MA 02451-8779 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-8779
- Phone Number
- 781-647-0772
- Fax Number
- 781-647-1086
Provider Business Mailing Address Details
- Address
- 200 5TH Ave
Waltham, MA 02451-8779 - City
- Waltham
- State
- MA
- Zip
- 02451-8779
- Phone Number
- 781-647-0772
- Fax Number
- 781-647-1086
License Information
- Taxonomy (1)
- Oral & Maxillofacial Surgery · 204E00000X
- Taxonomy (2)
- Dentist, Endodontics · 1223E0200X
- Taxonomy (3)
- Dentist, General Practice · 1223G0001X
- Taxonomy (4)
- Dentist, Pediatric Dentistry · 1223P0221X
- Taxonomy (5)
- Dentist, Periodontics · 1223P0300X
- Taxonomy (6)
- Dentist, Prosthodontics · 1223P0700X
- Taxonomy (7)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (8)
- 13328
- License State (8)
- MA
- Taxonomy (8)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waltham, MA
View all Dentists in Waltham →Frequently Asked Questions
What is the NPI number of 42 North Dental Care, LLC?
The NPI number of 42 North Dental Care, LLC is 1205868098. It was assigned on July 6, 2006 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 Dentist (code 122300000X), licensed in MA under license number 13328.
Where does 42 North Dental Care, LLC practice?
The practice location is 200 5TH Ave, Waltham, MA 02451-8779. The office can be reached at 781-647-0772 (phone) or 781-647-1086 (fax).
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 1205868098 directly on the NPPES registry website.