Active NPIOrganization

Hathaway Road Dental, PC

Dentist, General Practice in Cambridge, Massachusetts

NPI Number1275620726
Practice location
1 Porter Square, Suite 11, Cambridge, MA 02140
Fax
617-864-5666
Last updated
July 20, 2022

Hathaway Road Dental, PC is a healthcare organization based in Cambridge, MA. Hathaway Road Dental, PC practices in Cambridge, MA. The NPI Number for Hathaway Road Dental, PC is 1275620726. The current practice location address for Hathaway Road Dental, PC is 1 Porter Square, Suite 11, Cambridge, MA 02140 and can be reached out via phone at 617-547-5665 and via fax at 617-864-5666.

Provider Profile Details

NPI Number
1275620726
Provider Name
Hathaway Road Dental, PC
Provider Entity Type
Organization
Address
1 Porter Square, Suite 11, Cambridge, MA 02140
Phone Number
617-547-5665
Fax Number
617-864-5666
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
October 6, 2006
Last Update Date
July 20, 2022
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Porter Square
Suite 11
Cambridge, MA 02140
Zip
02140
Phone Number
617-547-5665
Fax Number
617-864-5666
Cambridge, MA 02140Get directions →

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
678-247-7858

License Information

Taxonomy (1)
Dentist, Endodontics · 1223E0200X
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1275620726. It was assigned on October 6, 2006 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).

Where does Hathaway Road Dental, PC practice?

The practice location is 1 Porter Square, Suite 11, Cambridge, MA 02140. The office can be reached at 617-547-5665 (phone) or 617-864-5666 (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 1275620726 directly on the NPPES registry website.

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