42 NORTH DENTAL CARE, LLC (NPI# 1356975874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356975874 |
| Entity Type | Organization |
| Organization Name | 42 NORTH DENTAL CARE, LLC |
| Practice Address |
382 Grove St Braintree MA 02184-7324 |
| Practice Telephone | 7818431072 |
| Practice Fax Number | 7818437880 |
| Mailing Telephone | 7818431072 |
| Mailing Fax Number | 7818437880 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | TAFPHANE LEGRANDE (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 7816470772 |
| Is Organization Subpart | Y |
| Parent Organization Name | 42 NORTH DENTAL CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Allen Dental Associates, P.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229171 | 42 North Dental Care, LLC | Clinic/Center | 23 Riverside Ave, Medford, MA 02155-4605 | 2019-08-02 |
| 1649730334 | 42 North Dental Care, LLC | Clinic/Center | 41 Park Ave Ste 3-4, Worcester, MA 01605-3947 | 2019-03-20 |
| 1205868098 | 42 North Dental Care, LLC | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2006-07-06 |
| 1982250726 | 42 North Dental Care, LLC | Clinic/Center | 21 Main St, Watertown, MA 02472-4403 | 2019-08-16 |
| 1134775059 | 42 North Dental Care, LLC | Clinic/Center | 76 Otis St, Westborough, MA 01581-3315 | 2019-08-15 |
| 1033765953 | 42 North Dental Care, LLC | Clinic/Center | 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102 | 2019-08-15 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1760048193 | 42 North Dental Care, LLC | Clinic/Center | 1 E Main St, Northborough, MA 01532-1662 | 2019-05-10 |
| 1013572635 | 42 North Dental Care, LLC | Clinic/Center | 10 Lincoln St, Plymouth, MA 02360-3326 | 2019-05-08 |
| 1851851547 | 42 North Dental Care, LLC | Clinic/Center | 471 W Central St, Franklin, MA 02038-2961 | 2019-03-20 |
| Street Address |
382 GROVE ST |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639109655 | Lauren E Handwerk | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2006-07-04 |
| 1255996757 | Michelle Whelan | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2019-05-09 |
| 1710372487 | Lyle Smith | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2015-03-31 |
| 1679986855 | Jennifer Allen | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2014-06-05 |
| 1629215280 | Erika Lynne Swanson | Physician Assistant | 382 Grove St, Braintree, MA 02184-7324 | 2009-01-19 |
| 1740214105 | Craig M Allen | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2006-07-10 |
| 1356371371 | Allen Dental Associates, P.C. | Dentist | 382 Grove St, Braintree, MA 02184-7324 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487923249 | Gentle Dental Braintree | Clinic/Center | 102 Pearl St, Braintree, MA 02184-6521 | 2011-12-23 |
| 1376018705 | Simply Dental of Braintree Pllc | Clinic/Center | 10 Forbes Rd, Braintree, MA 02184-2605 | 2018-10-12 |
| 1841717741 | Sherine Rabbat Dds, LLC | Clinic/Center | 400 Washington St Ste 103, Braintree, MA 02184-4764 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265771 | Sidhu Family Dental LLC | Clinic/Center | 15 West St Ste 101, Douglas, MA 01516-2160 | 2020-11-04 |
| 1205436276 | The Nurture Frenectomy Center | Clinic/Center | 200 Elm St Ste 1, Pittsfield, MA 01201-6551 | 2020-10-29 |
| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
| 1417555855 | Gardner Smiles Pllc | Clinic/Center | 356 Timpany Blvd, Gardner, MA 01440-5200 | 2020-10-16 |
| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.