42 North Dental Care, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

42 NORTH DENTAL CARE, PLLC

Doing business as

Four Town Dental Care

Practice address

118 Elm Street
Enfield, CT 06082

Phone

(860) 749-6088

NPI assigned

Nov 11, 2016

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

42 NORTH DENTAL CARE, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Angelo Scialabba, DDS

Title

Chief Clinical Officer

Phone

(561) 512-2709

Specialties & licenses 1

Addresses

Other names 1

• Four Town Dental Care Doing business as

Tax ID family

42 North Dental Care LLC54 organizations share this tax ID, including this one

Part of

42 North Dental Care PLLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1740722487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE FL 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518759",
            "telephone_number": "781-647-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ELM STREET",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-749-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "42 NORTH DENTAL CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "42 NORTH DENTAL CARE, PLLC",
        "enumeration_date": "2016-11-11",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SCIALABBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "561-512-2709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Town Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Town Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah D Abbott, LPC-A
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• Darlene D Able, RPH
• Sydney Abrams

• Dental Clinic/Center in Enfield, CT
• Providers in Enfield, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.