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42 NORTH DENTAL CARE PLLC NPI 1497346829


NPI Information

NPI: 1497346829
Provider Name: 42 NORTH DENTAL CARE PLLC

Doing Business As: RESTORATIVE AND AESTHETIC DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
650 BRIGHTON AVE
PORTLAND, ME
ZIP 04102
Phone: (207) 773-6331
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42 NORTH DENTAL CARE PLLC is a general practice dentist in Portland, ME. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 42 NORTH DENTAL CARE PLLC NPI is 1497346829. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Restorative And Aesthetic Dental Associates.

The provider's business location address is:

650 BRIGHTON AVE
PORTLAND, ME
ZIP 04102-035
Phone: (207) 773-6331

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 1/28/2021 and was last updated on 5/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

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: 4/28/2024

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.