is a Dental Clinic in Portland, Maine. It is located at 650 Brighton Ave, Portland, ME and its contact number is 207-773-6331. The authorized person for is Michael Angelo Scialabba
who is Chief Clinical Officer of the clinic and their contact number is 781-647-0772. Other organizations associated with this clinic are 42 North Dental Care Pllc, 42 North Dental Care, Pllc, The primary license number for is 2954 (Dentist) in Maine. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
650 Brighton Ave, Portland, Maine, 04102-1035
Phone:
207-773-6331
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Michael Angelo Scialabba
Position:
Chief Clinical Officer
Contact Number:
781-647-0772
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1528130283
NPI Enumeration Date:
15 Nov, 2006
NPI Last Update On:
29 Dec, 2021
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
42 North Dental Care Pllc
General Practice Dentistry
1497346829
42 North Dental Care, Pllc
Dentistry
1528130283
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Dentist
2954
Maine
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
329670099
Medicaid
Maine
251480099
Medicaid
Maine
315660099
Medicaid
Maine
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
650 Brighton Ave, Portland, Maine
Zip:
04102-1035
Phone Number:
207-773-6331
Patients can reach at 650 Brighton Ave, Portland, Maine or can call to book an appointment on 207-773-6331. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.