Cortland Dental

LBN: Hathaway Road Dental, Pc
Cortland Dental is an health care organization with primary practice located at 715 Crescent St Suite 9, Brockton MA 02302-3363. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Hathaway Road Dental, Pc can be contacted via phone (678) 904-5665, or through Jacomino, Michelle via phone (770) 916-5036.

Contact Information

Primary practice address
715 Crescent St Suite 9 Brockton MA 02302-3363
Phone: (678) 904-5665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacomino, Michelle
Phone: (770) 916-5036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1902947138
LBN Legal business name Hathaway Road Dental, Pc
DBA Doing business as Cortland Dental
Authorized official Jacomino, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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