Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

42 North Dental Care of Michigan, PLLC

Organization Dental Clinic/Center · NPI 1124770417

42 North Dental Care of Michigan, PLLC is a Dental Clinic/Center in Waltham, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 5th Ave Fl 3
Waltham, MA 02451-8759
Phone: (781) 647-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124770417
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization42 North Dental Care of Michigan, PLLC
Authorized official Michael Scialabba — Chief Clinical Officer · (561) 512-2709
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address200 5th Ave Fl 3, Waltham, MA 02451-8759

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