HATHORNE FAMILY DENTAL NPI 1174065585

NPI Information

NPI: 1174065585
Provider Name: HATHORNE FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 22D0072954

Address:
491 MAPLE ST STE 302
DANVERS, MA
ZIP 01923
Phone: (978) 750-0035
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HATHORNE FAMILY DENTAL is a dental clinic center in Danvers, MA. HATHORNE FAMILY DENTAL NPI is 1174065585. The provider is registered as an organization entity type.

The provider's business location address is:

491 MAPLE ST STE 302
DANVERS, MA
ZIP 01923-026
Phone: (978) 750-0035
Fax: (978) 750-0036

The provider's authorized official is Majlinda Vaka .
The authorized official title is President and has the following contact phone number (978) 750-0035.

The CLIA number assigned to this NPI record is 22D0072954 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN1857306	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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