Hathaway Road Dental, PC
NPI 1811084387ActiveOrganization· Dentist, General Practice· Chelsea, MA
Dentist, General Practice in Chelsea, Massachusetts, registered in NPPES in October 2006. The authorized official on file is Michelle Jacomino, Director Of Payor Relations.
Overview
| NPI | 1811084387 |
|---|---|
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Dentist, General Practice providers in Chelsea
- 1073536462
- 1447687314
- 1316098155
- 1154743672
- 1255063368
- 1326318650
- 1790803997
- 1588716278
- 1750310983
- 1447718481
- 1659866135
- 1306021498