Hathaway Road Dental, PC
NPI #1598852048 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1598852048
- 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
- 2181 WASHINGTON STREET
- Address 2
- SUITE 101
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-2082
- Phone
- (617) 427-5665
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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