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42 NORTH DENTAL CARE LLC NPI 1659640407


NPI Information

NPI: 1659640407
Provider Name: 42 NORTH DENTAL CARE, LLC

Doing Business As: GENTLE DENTAL MALDEN

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
225 CENTRE ST
MALDEN, MA
ZIP 02148
Phone: (781) 324-3200
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42 NORTH DENTAL CARE, LLC is a dental clinic center in Malden, MA. 42 NORTH DENTAL CARE, LLC NPI is 1659640407. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentle Dental Malden.

The provider's business location address is:

225 CENTRE ST
MALDEN, MA
ZIP 02148-524
Phone: (781) 324-3200

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 12/23/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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.