Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hathaway Road Dental, PC

Organization Endodontics · NPI 1902947138

Hathaway Road Dental, PC is an Endodontics in Brockton, Massachusetts. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

715 Crescent St Ste 9
Brockton, MA 02302-3363
Phone: (678) 904-5665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Endodontics Taxonomy 1223E0200X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1902947138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Jacomino — Director Of Payor Relations · (770) 916-5036
Other names Cortland Dental
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address210 Interstate North Pkwy Se Ste 300, Atlanta, GA 30339-2233

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