OrganizationActive
42 North Dental Care of Indiana, LLC
NPI 1164171609 · Dental Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1164171609
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 42 North Dental Care of Indiana, LLC
- Organization subpart
- Yes
- Authorized official
- Michael Scialabba, Chief Clinical Officer(561) 512-2709
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7202 N Shadeland Ave Ste a
Indianapolis, IN 46250-2086
Phone: (317) 577-2578
Street-level locationGet directions
Mailing address
7202 N Shadeland Ave Ste a
Indianapolis, IN 46250-2086
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.