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42 North Dental Care of Michigan, PLLC — NPI 1033859939, Tecumseh, MI | NPI Central

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NPI 1033859939

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42 North Dental Care of Michigan, PLLC

NPI 1033859939 · Dental Clinic/Center · Tecumseh, MI

Provider details

NPI number: 1033859939
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Parent organization: 42 North Dental Care of Michigan, PLLC
Organization subpart: Yes
Authorized official: Michael Scialabba, Chief Clinical Officer(561) 512-2709

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

3085 W Russell Rd

Tecumseh, MI 49286-1735

Phone: (517) 423-2135

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

3085 W Russell Rd

Tecumseh, MI 49286-1735

Other names (DBA / former)

Doing business as: Great Lakes Family Dental, Tecumseh

Registry dates

Enumerated: 2022-03-30
Last updated: 2022-03-30
Certified: 2022-03-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.