OrganizationActive
42 North Dental Care, LLC
NPI 1205868098 · Dentist · Waltham, MA
Provider details
- NPI number
- 1205868098
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Scialabba, Chief Clinical Officer(561) 512-2709
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
- Endodontics1223E0200X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
Practice location
200 5th Ave
Waltham, MA 02451-8779
Phone: (781) 647-0772
Fax: (781) 647-1086
Approximate (ZIP-level) locationGet directions
Mailing address
200 5th Ave
Waltham, MA 02451-8779
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.