Hathorne Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1857306 Issued in MA

Legal business name

HATHORNE FAMILY DENTAL

Practice address

491 Maple St Ste 302
Danvers, MA 01923-4026

Phone

(978) 750-0035

Fax

(978) 750-0036

NPI assigned

Nov 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Majlinda Vaka, DMD

Title

President

Phone

(978) 750-0035

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1174065585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234023",
            "telephone_number": "978-750-0035",
            "fax_number": "978-750-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MAPLE ST STE 302",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234026",
            "telephone_number": "978-750-0035",
            "fax_number": "978-750-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHORNE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "VAKA",
        "authorized_official_first_name": "MAJLINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-750-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1857306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon James Harwood
• Kimberly Haskins
• Katharine Hatfield
• Sarah Hatfield
• Casey Hathaway-Piccole
• Hathorne SNF Operations LLC
• Joyce Roper Haydock, COTA
• Jennifer Rose Hayes
• Yuchen He
• Luztalisha Heap

• Dental Clinic/Center in Danvers, MA
• Providers in Danvers, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.