Hathaway Road Dental, PC
Dentist, General Practice in Holyoke, Massachusetts
1154529071- Practice location
- 217 South Street, Holyoke, MA 04010
- Phone
- 770-916-9000
- Fax
- 770-904-5666
- Last updated
- July 20, 2022
Hathaway Road Dental, PC is a healthcare organization based in Holyoke, MA. Hathaway Road Dental, PC practices in Holyoke, MA. The NPI Number for Hathaway Road Dental, PC is 1154529071 and holds a License No. 21450 (MA). The current practice location address for Hathaway Road Dental, PC is 217 South Street, Holyoke, MA 04010 and can be reached out via phone at 770-916-9000 and via fax at 770-904-5666.
Provider Profile Details
- NPI Number
- 1154529071
- Provider Name
- Hathaway Road Dental, PC
- Provider Entity Type
- Organization
- Address
- 217 South Street, Holyoke, MA 04010
- Phone Number
- 770-916-9000
- Fax Number
- 770-904-5666
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Michelle Jacomino · Director Of Payor Relations · 770-916-5036
- Other Names
- Cortland Dental (Doing Business As)
- Provider Enumeration Date
- July 3, 2007
- Last Update Date
- July 20, 2022
- Certification Date
- July 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 217 South Street
Holyoke, MA 04010 - City
- Holyoke
- State
- Massachusetts
- Zip
- 04010
- Phone Number
- 770-916-9000
- Fax Number
- 770-904-5666
Provider Business Mailing Address Details
- Address
- 210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233 - City
- Atlanta
- State
- GA
- Zip
- 30339-2233
- Phone Number
- 770-916-9000
- Fax Number
- 770-904-5666
License Information
- License Number
- 21450
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Hathaway Road Dental, PC?
The NPI number of Hathaway Road Dental, PC is 1154529071. It was assigned on July 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Hathaway Road Dental, PC?
Hathaway Road Dental, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21450.
Where does Hathaway Road Dental, PC practice?
The practice location is 217 South Street, Holyoke, MA 04010. The office can be reached at 770-916-9000 (phone) or 770-904-5666 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154529071 directly on the NPPES registry website.