Provider Demographics
NPI:1730683855
Name:HAYES, CATHERINE (DMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WHITE PINE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1223
Mailing Address - Country:US
Mailing Address - Phone:617-697-7851
Mailing Address - Fax:617-965-1602
Practice Address - Street 1:40 WHITE PINE RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1223
Practice Address - Country:US
Practice Address - Phone:617-697-7851
Practice Address - Fax:617-965-1602
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN172441223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health