OrganizationActive
42 North Dental Care of Michigan, PLLC
NPI 1679213573 · Dental Clinic/Center · Warren, MI
42 North Dental Care of Michigan, PLLC is a Dental Clinic/Center organization in Warren, MI (NPI 1679213573).
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
Profile Score
Established profile(61/100 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
21635 Ryan Rd
Warren, MI 48091-2788
Phone: (586) 757-7540
Street-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
Frequently asked questions
- What is 42 North Dental Care of Michigan, PLLC's NPI number?
- 42 North Dental Care of Michigan, PLLC's National Provider Identifier (NPI) is 1679213573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 42 North Dental Care of Michigan, PLLC?
- 42 North Dental Care of Michigan, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is 42 North Dental Care of Michigan, PLLC located?
- 42 North Dental Care of Michigan, PLLC's practice location on file with NPPES is 21635 Ryan Rd, Warren, MI 48091-2788.
- What is 42 North Dental Care of Michigan, PLLC's phone number?
- The practice phone number listed in the NPPES registry for 42 North Dental Care of Michigan, PLLC is (586) 757-7540.
- Who is the authorized official for 42 North Dental Care of Michigan, PLLC?
- The authorized official listed on 42 North Dental Care of Michigan, PLLC's NPPES record is Michael Scialabba, Chief Clinical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 42 North Dental Care of Michigan, PLLC's NPI active?
- Yes — 42 North Dental Care of Michigan, PLLC's NPI (1679213573) is active in the NPPES registry as of the last update on 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.