42 North Dental Care PLLC
Organization Active NPI Dental Clinic/Center · Groton, CT
NPI 1033708656 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1033708656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 42 NORTH DENTAL CARE PLLC
- Practice address
- 1100 Poquonnock Rd
Groton, CT 06340-4209 - Phone
- (860) 445-9765
- NPI assigned
- Jan 18, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- 42 NORTH DENTAL CARE PLLC
Authorized official
- Name
- Dr. Michael Angelo Scialabba, DDS
- Title
- Chief Clinical Officer
- Phone
- (561) 512-2709
Corporate family (same tax ID) 7
Practitioners 2
-
Danielle Green, DMD
National Provider Directory
- Tax ID family
- 42 North Dental Care PLLC
- Part of
- 42 North Dental Care PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1100 Poquonnock Rd
Groton, CT 06340-4209
Mailing address
200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 647-0772
Other names
- Groton Dental Group
Other providers in Groton, CT
- 1145 Poquonnock Road Operations LLC
- William J Aberizk Jr.
- Thomas Aceto
- Kim L. Adams
- Sharon J Adams
- George Dennis Adrian
All providers in Groton, CT · Dental Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.