42 North Dental Care, LLC
Organization Active NPI Dental Clinic/Center · Boston, MA
NPI 1750650412 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1750650412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 42 NORTH DENTAL CARE, LLC
- Practice address
- 131 Tremont St
Boston, MA 02111-1317 - Phone
- (617) 292-0500
- 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) 24
Practitioners 4
-
Arnold Nagy, D.M.D.
-
Tracie Shames, DMD
-
Sarah Stipho, DMD
-
Narayani Baliga, DMD
National Provider Directory
- Tax ID family
- 42 North Dental Care LLC
- Part of
- 42 North Dental Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
131 Tremont St
Boston, MA 02111-1317
Mailing address
200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 647-0772
Other names
- Gentle Dental Tremont
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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.