FOUR TOWN DENTAL CARE – NPI #1740722487
Clinic/Center

FOUR TOWN DENTAL CARE is an AHC clinic located in ENFIELD, CT. NPPES has assigned the NPI number 1740722487 to FOUR TOWN DENTAL CARE on November 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOUR TOWN DENTAL CARE” is a dba name, the actual legal business name for this organization is 42 NORTH DENTAL CARE, PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 5 years ago on Jun 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUR TOWN DENTAL CARE below.

NPI Profile for
42 NORTH DENTAL CARE, PLLC

NPI Number
1740722487
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
42 NORTH DENTAL CARE, PLLC
Doing Business As (dba): FOUR TOWN DENTAL CARE
Primary location
118 ELM STREET
ENFIELD, CT 06082
Phone: (860) 749-6088 Fax:
Mailing address
200 5TH AVE FL 3
WALTHAM, MA 02451-8759
Phone: (781) 647-0772 Fax:
Organization Subpart
Yes - FOUR TOWN DENTAL CARE is subpart of another organization.
Authorized Official
MICHAEL SCIALABBA
CHIEF CLINICAL OFFICER
Phone: (561) 512-2709
Updated
Certification Date
Jun 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.