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42 NORTH DENTAL CARE LLC NPI 1205868098


NPI Information

NPI: 1205868098
Provider Name: 42 NORTH DENTAL CARE, LLC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
200 5TH AVE
WALTHAM, MA
ZIP 02451
Phone: (781) 647-0772
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42 NORTH DENTAL CARE, LLC is a dentist in Waltham, MA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. 42 NORTH DENTAL CARE, LLC NPI is 1205868098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 5TH AVE
WALTHAM, MA
ZIP 02451-779
Phone: (781) 647-0772
Fax: (781) 647-1086

The provider's authorized official is Michael Angelo Scialabba .
The authorized official title is Chief Clinical Officer and has the following contact phone number (561) 512-2709.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 6/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist13328MASSACHUSETTSYes
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeNo
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
8204E00000XOral & Maxillofacial SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.