42 North Dental Care Of Indiana, LLC
Clinic/Center, Dental in Waltham, Massachusetts
1679225965- Practice location
- 200 5TH Ave Fl 3, Waltham, MA 02451-8759
- Phone
- 781-647-0772
- Fax
- —
- Last updated
- January 19, 2022
42 North Dental Care Of Indiana, LLC is a healthcare organization based in Waltham, MA. 42 North Dental Care Of Indiana, LLC practices in Waltham, MA. The NPI Number for 42 North Dental Care Of Indiana, LLC is 1679225965. The current practice location address for 42 North Dental Care Of Indiana, LLC 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
- 1679225965
- Provider Name
- 42 North Dental Care Of Indiana, LLC
- 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 Indiana, LLC
- 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 - 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
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 Care Of Indiana, LLC?
The NPI number of 42 North Dental Care Of Indiana, LLC is 1679225965. 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 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 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 1679225965 directly on the NPPES registry website.