42 North Dental Care, Llc in Waltham - Dentist
42 North Dental Care, Llc - NPI 1205868098
42 North Dental Care, Llc is a Dentist in Waltham, Massachusetts. 42 North Dental Care, Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for 42 North Dental Care, Llc is 1205868098. The last update date is 2021-06-21.
42 North Dental Care, Llc's current location address is 200 5th Ave, Waltham, Massachusetts. You can contact this provider via phone number 7816470772 and fax number 7816471086. The mailing address for 42 North Dental Care, Llc is 200 5th Ave, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | 42 North Dental Care, Llc |
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Address | 200 5th Ave, Waltham, Massachusetts |
Phone Number | 7816470772 |
Fax Number | 7816471086 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF CLIN |
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Authorized Official Name | Scialabba Angelo Michael |
Credentials | DDS |
Telephone Number | 5615122709 |
NPI Number Detail
NPI Number | 1205868098 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
Address | 200 5th Ave |
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City | Waltham |
State | Massachusetts (MA) |
Post Code | 24518779 |
Phone Number | 7816470772 |
Fax Number | 7816471086 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 13328 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to 42 North Dental Care, Llc?
The 42 North Dental Care, Llc has been issued the NPI (National Provider Identifier) 1205868098 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the 42 North Dental Care, Llc's physical address?
The 42 North Dental Care, Llc is physically located at 200 5Th Ave, in the city of Waltham, MA, with the postal code 24518779.
What is 42 North Dental Care, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The 42 North Dental Care, Llc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205868098 to 42 North Dental Care, Llc?
The Centers for Medicare & Medicaid Services assigned the 1205868098 to 42 North Dental Care, Llc on 2006-07-06.
As of what date was the information regarding 42 North Dental Care, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 42 North Dental Care, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-21.