Active NPIOrganization

42 North Dental Care Of Indiana, LLC

Clinic/Center, Dental in Elkhart, Indiana

NPI Number1477254399
Practice location
1520 Osolo RD, Elkhart, IN 46514-4122
Fax
—
Last updated
March 16, 2023

42 North Dental Care Of Indiana, LLC is a healthcare organization based in Elkhart, IN. 42 North Dental Care Of Indiana, LLC practices in Elkhart, IN. The NPI Number for 42 North Dental Care Of Indiana, LLC is 1477254399. The current practice location address for 42 North Dental Care Of Indiana, LLC is 1520 Osolo RD, Elkhart, IN 46514-4122 and can be reached out via phone at 574-262-9619.

Provider Profile Details

NPI Number
1477254399
Provider Name
42 North Dental Care Of Indiana, LLC
Provider Entity Type
Organization
Address
1520 Osolo RD, Elkhart, IN 46514-4122
Phone Number
574-262-9619
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
Yes
Authorized Official
Michael Angelo Scialabba · Chief Dental Officer · 561-512-2709
Other Names
Greenleaf Family Dentistry (Doing Business As)
Provider Enumeration Date
March 16, 2023
Last Update Date
March 16, 2023
Certification Date
March 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1520 Osolo RD
Elkhart, IN 46514-4122
State
Indiana
Zip
46514-4122
Phone Number
574-262-9619
Elkhart, IN 46514Get directions →

Provider Business Mailing Address Details

Address
200 5TH Ave Fl 3
Waltham, MA 02451-8759
City
Waltham
State
MA
Zip
02451-8759

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 Indiana, LLC?

The NPI number of 42 North Dental Care Of Indiana, LLC is 1477254399. It was assigned on March 16, 2023 and is currently active in the NPPES registry.

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

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

Where does 42 North Dental Care Of Indiana, LLC practice?

The practice location is 1520 Osolo RD, Elkhart, IN 46514-4122. The office can be reached at 574-262-9619 (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 1477254399 directly on the NPPES registry website.

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