Harbor Dental Associates P.C.

Organization Active NPI General Practice Dentistry · Provincetown, MA

NPI 1417548116 · NPPES record last updated Sep 13, 2021

Key facts

NPI
1417548116
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
HARBOR DENTAL ASSOCIATES P.C.
Practice address
2 Harry Kemp Way Unit 2
Provincetown, MA 02657-1511
Phone
(508) 241-6366
NPI assigned
Jan 27, 2021
Organization subpart
No

Authorized official

Name
Jorge A Rodriguez, DMD
Title
President
Phone
(508) 241-6366

National Provider Directory

Locations

2 Harry Kemp Way
Unit 2
Provincetown, MA 02657
Phone (508) 241-6366

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

2 Harry Kemp Way Unit 2
Provincetown, MA 02657-1511

Mailing address

4 Willow Dr Apt 4
Provincetown, MA 02657-1638
Phone (617) 283-1220

Other names

  • Provincetown Harbor Dental Associates Doing business as

Other providers in Provincetown, MA

All providers in Provincetown, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.