Hathaway Road Dental, PC
NPI #1811084387 in Chelsea, Massachusetts
Provider Information
- NPI Number
- 1811084387
- 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
- 1096 REVERE BEACH PKWY
- City
- Chelsea
- State
- Massachusetts
- ZIP Code
- 02150
- Phone
- (617) 889-0177
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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