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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

NPI Number 1154529071
LBN Legal business name HATHAWAY ROAD DENTAL, PC
Authorized official MICHELLE JACOMINO - (DIRECTOR OF PAYOR RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2007
Last updated 07/20/2022 - About 4 years ago
Identifiers
MA License # 21450
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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