CORTLAND DENTAL
NPI 1811084387
Dentist - General Practice in Chelsea, MA

Q: What is Hathaway Road Dental, PC's NPI number?

The NPI number for Hathaway Road Dental, PC is 1811084387. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Cortland Dental.

Q: What is Hathaway Road Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 06, 2006

1096 REVERE BEACH PKWY, CHELSEA, MA 02150(617) 889-0177(617) 889-0211 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2022, Nov 23, 2021 (2 updates tracked since 2021).

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About Cortland Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORTLAND DENTAL (NPI 1811084387) is a healthcare organization registered as a general practice in Chelsea, Massachusetts and active in the NPI registry since October 2006. The organization lists Michelle Jacomino, Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1811084387

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHATHAWAY ROAD DENTAL, PC

Location Address1096 REVERE BEACH PKWYChelsea, MA 02150

Mailing Address210 Interstate North Pkwy Se Ste 300Atlanta, GA 30339-2233 · (770) 916-9000 · Fax (678) 247-7858

Phone(617) 889-0177

Fax(617) 889-0211

Organization SubpartNo

Authorized OfficialMichelle JacominoDirector Of Payor Relations · (770) 916-5036

Enumeration DateOctober 6, 2006

Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1811084387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

1096 REVERE BEACH PKWY, Chelsea, MA 02150

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Other Names 1

Doing Business AsCortland Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TABITHA LINDITA LEWIS DMD

Dentist (General Practice)