Hathaway Road Dental, PC
Dentist, General Practice in Chelsea, Massachusetts
1811084387- Practice location
- 1096 Revere Beach Pkwy, Chelsea, MA 02150
- Phone
- 617-889-0177
- Fax
- 617-889-0211
- Last updated
- July 20, 2022
Hathaway Road Dental, PC is a healthcare organization based in Chelsea, MA. Hathaway Road Dental, PC practices in Chelsea, MA. The NPI Number for Hathaway Road Dental, PC is 1811084387. The current practice location address for Hathaway Road Dental, PC is 1096 Revere Beach Pkwy, Chelsea, MA 02150 and can be reached out via phone at 617-889-0177 and via fax at 617-889-0211.
Provider Profile Details
- NPI Number
- 1811084387
- Provider Name
- Hathaway Road Dental, PC
- Provider Entity Type
- Organization
- Address
- 1096 Revere Beach Pkwy, Chelsea, MA 02150
- Phone Number
- 617-889-0177
- Fax Number
- 617-889-0211
- 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
- 1096 Revere Beach Pkwy
Chelsea, MA 02150 - City
- Chelsea
- State
- Massachusetts
- Zip
- 02150
- Phone Number
- 617-889-0177
- Fax Number
- 617-889-0211
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 1811084387. 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 1096 Revere Beach Pkwy, Chelsea, MA 02150. The office can be reached at 617-889-0177 (phone) or 617-889-0211 (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 1811084387 directly on the NPPES registry website.