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Contact Information

42 NORTH DENTAL CARE PLLC
650 BRIGHTON AVE
PORTLAND, ME04102-1035
 Phone: 207-773-6331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for 42 NORTH DENTAL CARE PLLC

NPI Number 1497346829
LBN Legal business name 42 NORTH DENTAL CARE PLLC
Authorized official MICHAEL SCIALABBA - (CHIEF CLINICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/28/2021
Last updated 05/21/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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