42 NORTH DENTAL CARE OF MICHIGAN, PLLC
NPI 1124770417
Clinic/Center - Dental in Waltham, MA

Active since January 19, 2022
200 5TH AVE FL 3, WALTHAM, MA 02451(781) 647-0772 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 42 North Dental Care Of Michigan, Pllc NPPES

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

42 NORTH DENTAL CARE OF MICHIGAN, PLLC (NPI 1124770417) is a healthcare organization registered as a dental in Waltham, Massachusetts and active in the NPI registry since January 2022. The organization lists Michael Angelo Scialabba, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1124770417
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Location Address200 5TH AVE FL 3Waltham, MA 02451-8759
Mailing Address200 5th Ave Fl 3Waltham, MA 02451-8759 · (781) 647-0772
Organization SubpartYes
Authorized OfficialMichael Angelo ScialabbaChief Clinical Officer · (561) 512-2709
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
NPI 1124770417 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

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.

Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Dentist (Oral and Maxillofacial Surgery)
200 5TH AVE FL 3
WALTHAM, MA 02451
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451
Dentist
200 5TH AVE FL 3
WALTHAM, MA 02451
Dentist
200 5TH AVE FL 3
WALTHAM, MA 02451
Clinic/Center (Dental)
200 5TH AVE FL 3
WALTHAM, MA 02451

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 Care Of Michigan, PLLC's NPI number?

The NPI number for 42 North Dental Care Of Michigan, PLLC is 1124770417. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is 42 North Dental Care Of Michigan, PLLC located?

42 North Dental Care Of Michigan, 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 Care Of Michigan, 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 Care Of Michigan, PLLC was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.