Organization · Type 2 NPI

42 North Dental Care PLLC

Dental Clinic/Center · Manchester, CT

NPI number 1447715602 Active

Practice location

238 Tolland Tpke
Manchester, CT 06042-1744

Call (860) 327-5990 Map

Fax (860) 860-7912

Mailing address

200 5th Ave Fl 3
Waltham, MA 02451-8759

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1447715602
Entity type: Organization (Type 2)
Issued: Feb 1, 2019
Last updated: Jun 21, 2021
Status: Active
Subpart: Yes of 42 North Dental Care PLLC

Other names

<unavail>
First Line Dental · doing business as
First Line Dental · doing business as

Authorized official

Dr. Michael A. Scialabba, DDS
Chief Clinical Officer
(561) 512-2709

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About NPI 1447715602

42 North Dental Care PLLC's National Provider Identifier is 1447715602, issued on Feb 1, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Manchester, CT. The record was last updated on Jun 21, 2021.