HATHAWAY ROAD DENTAL PC NPI 1811084387

NPI Information

  • NPI: 1811084387
  • Provider Name: HATHAWAY ROAD DENTAL, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CORTLAND DENTAL
  • Address: 1096 REVERE BEACH PKWY
    CHELSEA, MA
    ZIP 02150
  • Phone: (617) 889-0177

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NPI Details

HATHAWAY ROAD DENTAL, PC is a general practice dentist in Chelsea, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HATHAWAY ROAD DENTAL, PC NPI is 1811084387. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cortland Dental.

The provider's business location address is:

1096 REVERE BEACH PKWY
CHELSEA, MA
ZIP 02150
Phone: (617) 889-0177
Fax: (617) 889-0211

The provider's authorized official is Michelle Jacomino .
The authorized official title is Director Of Payor Relations and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/20/2022.

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
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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