42 NORTH DENTAL CARE OF MICHIGAN, PLLC
NPI 1679223374
Clinic/Center - Dental in Dexter, MI

Active since March 25, 2022
3060 BAKER RD, DEXTER, MI 48130(734) 426-4651 Get Directions Write a Review

NPPES record last updated: March 25, 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 1679223374), doing business as Great Lakes Family Dental, Dexter, is a healthcare organization registered as a dental in Dexter, Michigan and active in the NPI registry since March 2022. The organization lists Michael Angelo Scialabba, Chief Clincal Officer, as its authorized official.

NPPES Registry Identity

NPI1679223374
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Location Address3060 BAKER RDDexter, MI 48130-1140
Mailing Address3060 Baker RdDexter, MI 48130-1140
Organization SubpartYes
Authorized OfficialMichael Angelo ScialabbaChief Clincal Officer · (561) 512-2709
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1679223374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3060 BAKER RD, Dexter, MI 48130

Other Names 1

Doing Business AsGreat Lakes Family Dental, Dexter

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
3060 BAKER RD
DEXTER, MI 48130
Dental Hygienist
3060 BAKER RD
DEXTER, MI 48130

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 1679223374. It was assigned to this organization in the NPPES registry on March 25, 2022. The provider is doing business as Great Lakes Family Dental, Dexter.

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

42 North Dental Care Of Michigan, PLLC is located at 3060 Baker Rd, Dexter, MI 48130. The listed phone number is (734) 426-4651.

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 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.