Harbor Dental Associates P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HARBOR DENTAL ASSOCIATES P.C.

Doing business as

Provincetown Harbor Dental Associates

Practice address

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

Phone

(508) 241-6366

NPI assigned

Jan 27, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge A Rodriguez, DMD

Title

President

Phone

(508) 241-6366

Specialties & licenses 1

Addresses

Other names 1

• Provincetown Harbor Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1417548116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW DR APT 4",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571638",
            "telephone_number": "617-283-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARRY KEMP WAY UNIT 2",
            "city": "PROVINCETOWN",
            "state": "MA",
            "postal_code": "026571511",
            "telephone_number": "508-241-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR DENTAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-241-6366",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provincetown Harbor Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Provincetown Harbor Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela French,, MD
• Gaffney-Livingstoneconsultation Service (Joanne Gaffney Livingstone, RN, LICSW)
• Joanne Gaffney
• Daniel F Gates
• John R Graves, DDS
• Harbor Health Services, Inc.
• Mahrya Katrinka Hart, RDH
• Kristin C. Hatch, LCSW
• Walter James Healey, M.D.
• Donna Kathreen Heitzman, D.C.

• General Practice Dentistry in Provincetown, MA
• Providers in Provincetown, 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 Sep 13, 2021; 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.