42 NORTH DENTAL (NPI# 1447715602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447715602 |
| Entity Type | Organization |
| Organization Name | 42 NORTH DENTAL |
| Practice Address |
238 Tolland Tpke Manchester CT 06042-1744 |
| Mailing Address |
200 5th Ave Fl 3 Waltham MA 02451-8759 |
| Practice Telephone | 8603275990 |
| Practice Fax Number | 8608607912 |
| Mailing Telephone | 7816470772 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | TAFPHANE LEGRANDE (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 7816470772 |
| Is Organization Subpart | Y |
| Parent Organization Name | 42 NORTH DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| First Line Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692385 | 42 North Dental | Clinic/Center | 30 Quaker Farms Rd, Southbury, CT 06488-2732 | 2019-07-29 |
| 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 |
| Connecticut Business Registrations | 42 North Dental, LLC | 200 5th Ave Fl 3, Waltham, MA 02451 |
| New York State Corporations | 42 NORTH DENTAL, LLC | 28 Liberty Street, New York, Ny 10005 |
| Street Address |
238 TOLLAND TPKE |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780006759 | Gentle Dental Associates, LLC | Clinic/Center | 801 Elm St, Manchester, NH 03101-2103 | 2014-01-10 |
| 1972147866 | Sunshine Dental of Manchester | Clinic/Center | 168 Spencer St, Manchester, CT 06040-4616 | 2019-11-04 |
| 1265073563 | North End Dental Care Pllc | Clinic/Center | 1361 Elm St Ste 202, Manchester, NH 03101-1323 | 2019-10-08 |
| 1891262804 | Lakeside Dental LLC | Clinic/Center | 1051 Western Ave, Manchester, ME 04351-3403 | 2018-10-29 |
| 1659858801 | Manchester Dental Surgery and Implant Center | Clinic/Center | 30 Canton St Ste 12, Manchester, NH 03103-3524 | 2018-07-20 |
| 1467960880 | Robert C. Fromuth Dds Pllc | Clinic/Center | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2018-01-19 |
| 1356854426 | Dr Dental of Manchester PC | Clinic/Center | 460 Elm St, Manchester, NH 03101-2701 | 2017-11-13 |
| 1760905830 | Bh Dental LLC | Clinic/Center | 194 Buckland Hills Dr Ste 1076, Manchester, CT 06042-8785 | 2017-07-20 |
| 1104205707 | Amoskeag Family Dentistry, LLP | Clinic/Center | 316 S Main St, Manchester, NH 03102-4842 | 2015-05-28 |
| 1548649890 | Audc Dental Group Pllc | Clinic/Center | 324 S Main St, Manchester, NH 03102-4842 | 2015-05-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on 42 NORTH DENTAL.
| 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.