42 North Dental Care PLLC
Organization Active NPI Dental Clinic/Center · Southbury, CT
NPI 1326692385 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1326692385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 42 NORTH DENTAL CARE PLLC
- Practice address
- 30 Quaker Farms Rd
Southbury, CT 06488-2732 - Phone
- (203) 264-4351
- Fax
- (203) 736-9443
- NPI assigned
- Jul 29, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- 42 NORTH DENTAL CARE PLLC
Authorized official
- Name
- Dr. Michael A. Scialabba, DDS
- Title
- Chief Clinical Officer
- Phone
- (561) 512-2709
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- 42 North Dental Care PLLC
- Part of
- 42 North Dental Care PLLC
Locations
497 Main St
Ansonia, CT 06401
Phone (203) 734-9291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
30 Quaker Farms Rd
Southbury, CT 06488-2732
Mailing address
200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 647-0772
Other practice location 1
497 Main St
Ansonia, CT 06401-2333
Phone (203) 736-9443
Other names
- Southern Connecticut Dental Group - Southbury
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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.