42 NORTH DENTAL CARE OF MICHIGAN, PLLC
NPI 1679213573
Clinic/Center - Dental in Warren, MI

Active since March 30, 2022
21635 RYAN RD, WARREN, MI 48091(586) 757-7540 Get Directions Write a Review

NPPES record last updated: March 30, 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 1679213573), doing business as Great Lakes Family Dental, Warren, is a healthcare organization registered as a dental in Warren, Michigan and active in the NPI registry since March 2022. The organization lists Michael Angelo Scialabba, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1679213573
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Location Address21635 RYAN RDWarren, MI 48091-2788
Mailing Address21635 Ryan RdWarren, MI 48091-2788
Organization SubpartYes
Authorized OfficialMichael Angelo ScialabbaChief Clinical Officer · (561) 512-2709
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1679213573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
21635 RYAN RD, Warren, MI 48091

Other Names 1

Doing Business AsGreat Lakes Family Dental, Warren

Other Providers at the Same Location NPPES 4

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

Dentist
21635 RYAN RD
WARREN, MI 48091
Dentist (General Practice)
21635 RYAN RD
WARREN, MI 48091
Dentist
21635 RYAN RD
WARREN, MI 48091
Dentist (General Practice)
21635 RYAN RD
WARREN, MI 48091

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 1679213573. It was assigned to this organization in the NPPES registry on March 30, 2022. The provider is doing business as Great Lakes Family Dental, Warren.

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

42 North Dental Care Of Michigan, PLLC is located at 21635 Ryan Rd, Warren, MI 48091. The listed phone number is (586) 757-7540.

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 March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.