| 42 North Dental Care, Pllc | |
|
650 Brighton Ave Portland ME 04102-1035 | |
| (207) 773-6331 | |
| Not Available |
| Full Name | 42 North Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 650 Brighton Ave, Portland, Maine |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 7816470772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 42 North Dental Care, Pllc 650 Brighton Ave Portland ME 04102-1035 Ph: (207) 773-6331 | 42 North Dental Care, Pllc 650 Brighton Ave Portland ME 04102-1035 Ph: (207) 773-6331 |
| NPI Number | 1528130283 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528130283 | NPI | - | NPPES |
| 329670099 | Medicaid | ME | |
| 251480099 | Medicaid | ME | |
| 315660099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2954 (Maine) | Primary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
Mainehealth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-871-4078 | |
Juno Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave Ste A, Portland, ME 04102 Phone: 207-773-2150 | |
Alexandra Y Peacock Cathcart Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Street, Portland, ME 04103 Phone: 207-797-7433 Fax: 207-797-7720 | |
Aspen Dental Of Maine Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave, Portland, ME 04102 Phone: 207-773-2150 | |
Arc Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Ave, Portland, ME 04102 Phone: 207-772-4359 | |
Michael Bufo, D.m.d. Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Avenue, Suite 1, Portland, ME 04102 Phone: 207-772-4359 Fax: 207-772-4990 |