| Hathorne Family Dental | |
|
491 Maple St Ste 302 Danvers MA 01923-4026 | |
| (703) 953-4088 | |
| Not Available |
| Full Name | Hathorne Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 491 Maple St Ste 302, Danvers, Massachusetts |
| Authorized Official Name and Position | Keerthy Reddy Chilakamarry (OWNER) |
| Authorized Official Contact | 7816062148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hathorne Family Dental 491 Maple St Ste 302 Danvers MA 01923-4026 Ph: (703) 953-4088 | Hathorne Family Dental 491 Maple St Ste 302 Danvers MA 01923-4026 Ph: (703) 953-4088 |
| NPI Number | 1902663933 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902663933 | NPI | - | NPPES |
| DN1857756 | Other | MA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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