Scott Lawrence Harelick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855402 Issued in MA

Practice address

278 Alden Rd
Fairhaven, MA 02719-4430

Phone

(508) 993-0546

Fax

(508) 993-0100

NPI assigned

Jun 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harelick Dental Associates, LLC

  • General Practice Dentistry
  • Fairhaven, MA
  • NPI 1053638122
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1336469410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194430",
            "telephone_number": "508-993-0546",
            "fax_number": "508-993-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194430",
            "telephone_number": "508-993-0546",
            "fax_number": "508-993-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARELICK",
        "first_name": "SCOTT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guidance Therapy and Supportive Services LLC
• Kelly A Gunn, NP
• Harelick Dental Associates, LLC
• Natalie Harelick, D.M.D.
• Robert Nathan Harelick, D.M.D.
• Lynn Harrison, RDH
• Deidre B Hart, MSPT
• Alyson Haskell
• Timothy Hernandez, LADC I
• Sean P Hersey, MD

• General Practice Dentistry in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.