42 NORTH DENTAL CARE, PLLC (NPI# 1851919534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851919534 |
| Entity Type | Organization |
| Organization Name | 42 NORTH DENTAL CARE, PLLC |
| Practice Address |
1 Court St Ste 270 Lebanon NH 03766-6313 |
| Mailing Address |
200 5th Ave Fl 3 Waltham MA 02451-8759 |
| Practice Telephone | 6034481830 |
| Practice Fax Number | 6034481826 |
| Mailing Telephone | 7816470772 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | DR. MICHAEL ANGELO SCIALABBA (VP, CLINICAL AFFAIRS) |
| Authorized Official Telephone | 5615122709 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | 42 NORTH DENTAL CARE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Osofsky & Sabatelle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326460395 | 42 North Dental Care, Pllc | Clinic/Center | 151 Main St, Nashua, NH 03060-2725 | 2014-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | 42 NORTH DENTAL CARE, PLLC | 200 5th Avenue, 3rd Floor, Waltham, MA 02451 |
| New York State Corporations | 42 NORTH DENTAL CARE, PLLC | 28 Liberty Street, New York, Ny 10005 |
| Street Address |
1 COURT ST STE 270 |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851473029 | Tracy L Bill | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2006-10-19 |
| 1649566506 | Barbara A Deangelis | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2011-06-20 |
| 1053606970 | Tina L Carlson | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2011-06-20 |
| 1396053401 | Kathleen P Fowler | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2010-09-23 |
| 1477860831 | Elsa E Wotton | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2010-09-08 |
| 1841518081 | Ann L'italien | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2010-05-12 |
| 1982928222 | Stacey L Henry | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2010-03-16 |
| 1588893663 | Robin L Murray | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2009-07-09 |
| 1730313883 | Lisa A Lewis | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2009-05-05 |
| 1356585798 | Jeanine W Eaton | Dental Hygienist | 1 Court St Ste 270, Lebanon, NH 03766-6313 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1376028761 | Hyland Dental, PC | Clinic/Center | 367 Route 120 Bldg D, Lebanon, NH 03766-1430 | 2018-10-01 |
| 1831633122 | Acorn Dentistry for Kids - Lebanon, LLC | Clinic/Center | 1780 S Main St, Lebanon, OR 97355-3139 | 2016-12-06 |
| 1649438813 | Philip J. Cascione D.d.s. | Clinic/Center | 1125 N Lebanon St, Lebanon, IN 46052-1760 | 2008-05-23 |
| 1184849028 | Ditzler Family Dentistry PC | Clinic/Center | 850 Norman Dr, Lebanon, PA 17042-7444 | 2007-04-16 |
| 1053946525 | Champion Dentistry, LLC | Clinic/Center | 322 N Maple St, Lebanon, TN 37087-2706 | 2020-03-05 |
| 1528585775 | Geoffrey W Blatter, Dmd, PC | Clinic/Center | 100 E Oak St, Lebanon, OR 97355-4135 | 2017-08-28 |
| 1467859231 | Michael L. Fellin, Dmd, LLC | Clinic/Center | 1695 N 7th St, Lebanon, PA 17046-2103 | 2014-11-22 |
| 1225440159 | Paul Nawiesniak Dds | Clinic/Center | 401 W Main St, Suite 101, Lebanon, TN 37087-3584 | 2014-05-27 |
| 1548601776 | Tosh Family Dental | Clinic/Center | 905 N Lebanon St, Lebanon, IN 46052-1725 | 2013-07-16 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.