Hathaway Road Dental, PC
NPI #1275620726 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1275620726
- Entity Type
- Organization
- Organization Name
- Hathaway Road Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jul 20, 2022
Practice Location
- Address
- 1 PORTER SQUARE
- Address 2
- SUITE 11
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02140
- Phone
- (617) 547-5665
Authorized Official
- Name
- MICHELLE JACOMINO
- Title
- DIRECTOR OF PAYOR RELATIONS
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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