Hathaway Road Dental, PC
NPI 1902947138 · General Practice Dentistry · Brockton, MA
Hathaway Road Dental, PC is a General Practice Dentistry organization in Brockton, MA (NPI 1902947138).
Provider details
- NPI number
- 1902947138
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Jacomino, Director of Payor Relations(770) 916-5036
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cortland Dental
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Hathaway Road Dental, PC's NPI number?
- Hathaway Road Dental, PC's National Provider Identifier (NPI) is 1902947138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hathaway Road Dental, PC?
- Hathaway Road Dental, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Hathaway Road Dental, PC located?
- Hathaway Road Dental, PC's practice location on file with NPPES is 715 Crescent St, Brockton, MA 02302-3363.
- What is Hathaway Road Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Hathaway Road Dental, PC is (678) 904-5665.
- Who is the authorized official for Hathaway Road Dental, PC?
- The authorized official listed on Hathaway Road Dental, PC's NPPES record is Michelle Jacomino, Director of Payor Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hathaway Road Dental, PC's NPI active?
- Yes — Hathaway Road Dental, PC's NPI (1902947138) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.