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42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
NPI 1043979040
Clinic/Center - Dental in Waltham, MA

Active since December 17, 2021
200 5TH AVE FL 3, WALTHAM, MA 02451(781) 647-0772 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 42 North Dental Oral Surgery Of Ma, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

42 NORTH DENTAL ORAL SURGERY OF MA, PLLC (NPI 1043979040) is a healthcare organization registered as a dental in Waltham, Massachusetts and active in the NPI registry since December 2021. The organization lists Michael Angelo Scialabba, Chief Clincal Officer, as its authorized official.

NPPES Registry Identity

NPI1043979040
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Location Address200 5TH AVE FL 3Waltham, MA 02451-8759
Mailing Address200 5th Ave Fl 3Waltham, MA 02451-8759 · (781) 647-0772
Phone(781) 647-0772
Organization SubpartYes
Authorized OfficialMichael Angelo ScialabbaChief Clincal Officer · (561) 512-2709
Enumeration DateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1043979040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
200 5TH AVE FL 3, Waltham, MA 02451
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

42 NORTH DENTAL CARE, PLLC
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
42 NORTH DENTAL CARE LLC
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
DR. LAYEEQ AHMED D.M.D.
Dentist (Oral and Maxillofacial Surgery)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
42 NORTH DENTAL CARE OF NJ LLC
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
42 NORTH DENTAL CARE, PLLC
Dentist
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772
MELINDA XUAN LE DMD
Dentist
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (617) 480-6355
42 NORTH DENTAL CARE OF INDIANA, LLC
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Middlesex County (781) 647-0772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 42 North Dental Oral Surgery Of Ma, PLLC's NPI number?

The NPI number for 42 North Dental Oral Surgery Of Ma, PLLC is 1043979040. It was assigned to this organization in the NPPES registry on December 17, 2021.

Where is 42 North Dental Oral Surgery Of Ma, PLLC located?

42 North Dental Oral Surgery Of Ma, PLLC is located at 200 5th Ave Fl 3, Waltham, MA 02451. The listed phone number is (781) 647-0772.

What is 42 North Dental Oral Surgery Of Ma, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for 42 North Dental Oral Surgery Of Ma, PLLC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.