Hathaway Road Dental, PC
NPI 1407943954ActiveOrganization· Dentist, General Practice· Fall River, MA
Dentist, General Practice in Fall River, Massachusetts, registered in NPPES in October 2006. The authorized official on file is Michelle Jacomino, Director Of Payor Relations.
Overview
| NPI | 1407943954 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Jul 20, 2022 |
| Certified by provider | Jul 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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