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42 North Dental Care of Michigan, PLLC — NPI 1871233775, Livonia, MI | NPI Central

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NPI 1871233775

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42 North Dental Care of Michigan, PLLC

NPI 1871233775 · Dental Clinic/Center · Livonia, MI

Provider details

NPI number: 1871233775
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

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

16160 Middlebelt Rd

Livonia, MI 48154-3338

Phone: (734) 261-9696

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

16160 Middlebelt Rd

Livonia, MI 48154-3338

Other names (DBA / former)

Doing business as: Great Lakes Family Dental, Livonia

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.