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42 North Dental Oral Surgery of Ma, PLLC — NPI 1043979040, Waltham, MA | NPI Central

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NPI 1043979040

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42 North Dental Oral Surgery of Ma, PLLC

NPI 1043979040 · Dental Clinic/Center · Waltham, MA

Provider details

NPI number: 1043979040
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Parent organization: 42 North Dental Oral Surgery of Ma, PLLC
Organization subpart: Yes
Authorized official: Michael Scialabba, Chief Clincal Officer(561) 512-2709

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

200 5th Ave Fl 3

Waltham, MA 02451-8759

Phone: (781) 647-0772

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

200 5th Ave Fl 3

Waltham, MA 02451-8759

Registry dates

Enumerated: 2021-12-17
Last updated: 2021-12-17
Certified: 2021-12-17

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