42 North Dental Care of Michigan, PLLC
Organization Active NPI Dental Clinic/Center · Charlotte, MI
NPI 1649929183 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1649929183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 42 NORTH DENTAL CARE OF MICHIGAN, PLLC
- Practice address
- 917 W Lawrence Ave
Charlotte, MI 48813-1309 - Phone
- (517) 543-1840
- Fax
- (517) 543-8780
- NPI assigned
- Mar 22, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- 42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Authorized official
- Name
- Michael Angelo Scialabba
- Title
- Chief Clinical Officer
- Phone
- (561) 512-2709
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- 42 North Dental Care of Michigan PLLC
- Part of
- 42 North Dental Care of Michigan PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
917 W Lawrence Ave
Charlotte, MI 48813-1309
Mailing address
917 W Lawrence Ave
Charlotte, MI 48813-1309
Other providers in Charlotte, MI
- Adult Internal Medicine and Family Care, PLC
- Agnp Health LLC
- Stephanie Sheppard Almy
- Altman Family Practice
- Amie J Sherrill-Pierce Ma LLC
All providers in Charlotte, MI · Dental Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. 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.