| 42 North Dental Care Of Indiana, Llc | |
|
1003 W Mcgalliard Rd Muncie IN 47303-1788 | |
| (765) 288-1307 | |
| (765) 741-1649 |
| Full Name | 42 North Dental Care Of Indiana, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1003 W Mcgalliard Rd, Muncie, Indiana |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 42 North Dental Care Of Indiana, Llc 1003 W Mcgalliard Rd Muncie IN 47303-1788 Ph: () - | 42 North Dental Care Of Indiana, Llc 1003 W Mcgalliard Rd Muncie IN 47303-1788 Ph: (765) 288-1307 |
| NPI Number | 1477202919 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477202919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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