| Hathaway Road Dental, Pc | |
|
217 South Street Holyoke MA 04010 | |
| (770) 916-9000 | |
| (770) 904-5666 |
| Full Name | Hathaway Road Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 South Street, Holyoke, Massachusetts |
| Authorized Official Name and Position | Michelle Jacomino (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hathaway Road Dental, Pc 210 Interstate North Pkwy Se Ste 300 Atlanta GA 30339-2233 Ph: (770) 916-9000 | Hathaway Road Dental, Pc 217 South Street Holyoke MA 04010 Ph: (770) 916-9000 |
| NPI Number | 1154529071 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154529071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21450 (Massachusetts) | Primary |
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