Hathaway Road Dental, PC
Dentist, General Practice in Roxbury, Massachusetts
1598852048- Practice location
- 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082
- Phone
- 617-427-5665
- Fax
- 617-445-2708
- Last updated
- July 20, 2022
Hathaway Road Dental, PC is a healthcare organization based in Roxbury, MA. Hathaway Road Dental, PC practices in Roxbury, MA. The NPI Number for Hathaway Road Dental, PC is 1598852048. The current practice location address for Hathaway Road Dental, PC is 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082 and can be reached out via phone at 617-427-5665 and via fax at 617-445-2708.
Provider Profile Details
- NPI Number
- 1598852048
- Provider Name
- Hathaway Road Dental, PC
- Provider Entity Type
- Organization
- Address
- 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082
- Phone Number
- 617-427-5665
- Fax Number
- 617-445-2708
- 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
- 2181 Washington Street
Suite 101
Roxbury, MA 02119-2082 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-2082
- Phone Number
- 617-427-5665
- Fax Number
- 617-445-2708
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
| 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 1598852048. 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 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082. The office can be reached at 617-427-5665 (phone) or 617-445-2708 (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 1598852048 directly on the NPPES registry website.