42 North Dental Care, PLLC
Clinic/Center, Dental in Exeter, NH. Organization (NPI-2).
NPI number1548907462
StatusActive
Last updated in NPPESMay 13, 2022
Details
- NPI
- 1548907462
- Entity type
- Organization (NPI-2)
- Legal business name
- 42 North Dental Care, PLLC
- Organization subpart
- Yes
- Enumeration date
- May 13, 2022
- Certification date
- May 13, 2022
- Last updated
- May 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Gentle Dental, Exeter Nh (Doing Business As)
Practice location
137 Portsmouth AveExeter, NH 03833-2144
Phone 603-377-8989
Mailing address
200 5th Ave Fl 3Waltham, MA 02451-8759
Phone 978-647-0772
Authorized official
Michael Angelo Scialabba
Chief Clinical Officer
5615122709
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