OrganizationActive
42 North Dental Care of Michigan, PLLC
NPI 1679213573 · Dental Clinic/Center · Warren, MI
Provider details
- NPI number
- 1679213573
- 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
Ambulatory Health Care Facilities
Practice location
21635 Ryan Rd
Warren, MI 48091-2788
Phone: (586) 757-7540
Approximate (ZIP-level) locationGet directions
Mailing address
21635 Ryan Rd
Warren, MI 48091-2788
Other names (DBA / former)
- Doing business as
- Great Lakes Family Dental, Warren
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.