OrganizationActive
42 North Dental Care of Indiana, LLC
NPI 1679225965 · Dental Clinic/Center · Waltham, MA
Provider details
- NPI number
- 1679225965
- 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
Practice location
200 5th Ave Fl 3
Waltham, MA 02451-8759
Phone: (781) 647-0772
Approximate (ZIP-level) locationGet directions
Mailing address
200 5th Ave Fl 3
Waltham, MA 02451-8759
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.