42 North Dental Care of Michigan, PLLC
Organization Active NPI Dental Clinic/Center · Blissfield, MI
NPI 1912657602 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1912657602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 42 NORTH DENTAL CARE OF MICHIGAN, PLLC
- Practice address
- 9178 E US Highway 223
Blissfield, MI 49228-9665 - Phone
- (517) 486-2030
- NPI assigned
- Mar 25, 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
Practitioners 4
-
Anne Elizabeth Young, DDS
National Provider Directory
- Tax ID family
- 42 North Dental Care of Michigan PLLC
- Part of
- 42 North Dental Care of Michigan PLLC
Locations
9178 E US Highway 223
Blissfield, MI 49228
Phone (517) 486-2030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
9178 E US Highway 223
Blissfield, MI 49228-9665
Mailing address
9178 E US Highway 223
Blissfield, MI 49228-9665
Other names
- Great Lakes Family Dental, Blissfield
Other providers in Blissfield, MI
- Emily Auth
- Back Pain Relief Chiropractic LLC
- Bailey Family Chiropractic LLC
- Ashley Bailey
- Daniel Bailey
All providers in Blissfield, 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 25, 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.