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Contact Information

HATHAWAY ROAD DENTAL, PC
217 SOUTH STREET
HOLYOKE, MA04010
 Phone: 770-916-9000
 Fax: 770-904-5666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HATHAWAY ROAD DENTAL PC · (Female)

NPI # 1154529071
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2007
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 21450
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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