42 North Dental Care, LLC

Organization Active NPI Dental Clinic/Center · Peabody, MA

NPI 1124397989 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1124397989
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
42 NORTH DENTAL CARE, LLC
Practice address
1 Main St
Peabody, MA 01960-5509
Phone
(978) 532-2700
NPI assigned
Dec 23, 2011
Organization subpart
Yes
Parent organization (as reported)
42 NORTH DENTAL CARE, LLC

Authorized official

Name
Dr. Michael Angelo Scialabba, DDS
Title
Chief Clinical Officer
Phone
(561) 512-2709

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
42 North Dental Care LLC (54 organizations share this tax ID)
Part of
42 North Dental Care LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

1 Main St
Peabody, MA 01960-5509

Mailing address

200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 647-0772

Other names

  • Gentle Dental Peabody Doing business as

Other providers in Peabody, MA

All providers in Peabody, MA · Dental Clinic/Center in Massachusetts

Sources for this page

Verify at the official NPI Registry.