DR. JOHN CLYDE HARTLEY (NPI# 1285965210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285965210 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLYDE HARTLEY |
| Credential | DDS |
| Practice Address |
207 Upper Main St Edgartown MA 02539-5927 |
| Mailing Address |
Po Box 2135 Edgartown MA 02539-2135 |
| Practice Telephone | 5089399000 |
| Practice Fax Number | 5089398537 |
| Mailing Telephone | 5089399000 |
| Mailing Fax Number | 5089398537 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19314 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496928 | John Hartley | Pharmacist | 28334 Atley Ct, Santa Clarita, CA 91350-3204 | 2017-02-16 |
| 1780683433 | John C. Hartley | Nurse Anesthetist, Certified Registered | 5916 Sicilian Cir, Plano, TX 75093-7016 | 2005-07-15 |
| 1265526925 | John H Hartley Jr. | Surgery | 4200 Northside Pkwy Nw, Building 8, Atlanta, GA 30327-3054 | 2006-10-03 |
| 1053374207 | John R Hartley | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-04-10 |
| 1861463184 | John Thomas Hartley IIi | Internal Medicine | 930 Franklin St Se, Huntsville, AL 35801-4312 | 2006-01-27 |
| Street Address |
207 UPPER MAIN ST |
| City | EDGARTOWN |
| State | MA |
| Zip Code | 02539-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657255 | Edgartown Dental Group LLC | Dentist | 207 Upper Main St, Edgartown, MA 02539-5927 | 2017-08-30 |
| 1124359773 | Main Street Dental | Dentist | 207 Upper Main St, Edgartown, MA 02539-5927 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024143 | Elizabeth Ann Zeller | Occupational Therapist | 40 20th St N, Edgartown, MA 02539 | 2020-02-05 |
| 1932684008 | Amid The Waters Chiropractic | Chiropractor | 12 Mariners Way, Edgartown, MA 02539 | 2018-09-25 |
| 1538640453 | Roberta Raimon | Social Worker | 27 Mullen Way, Edgartown, MA 02539 | 2018-08-28 |
| 1881195683 | Nancy Rose Steinbock | Speech-Language Pathologist | 55 Pilgrim Road, Edgartown, MA 02539 | 2018-02-27 |
| 1457870503 | Abigail Alexa Smith | Specialist/Technologist | 60 Schoolhouse Road, Edgartown, MA 02539 | 2017-09-10 |
| 1033518618 | Prudence Levy | Dietitian, Registered | 140 Cooke Street, Edgartown, MA 02539 | 2014-08-19 |
| 1972916443 | Victoria Haeselbarth | Specialist | 10 Bennett Way, Edgartown, MA 02539 | 2014-06-03 |
| 1699009787 | Jacqueline Mary Miller | Nurse Practitioner | 245 Edgartown- Vineyard Haven Road, Island Health Care, Edgartown, MA 02539 | 2009-09-23 |
| 1316077464 | Island Health Inc. | Clinic/Center | 245 Vineyard Haven-edgartown Road, Edgartown, MA 02539 | 2007-03-07 |
| 1679625255 | Brian Stuart Cullen | Dentist | 258 Edgartown Rd., Unit 2, Edgartown, MA 02539 | 2007-01-17 |
| Find all providers in zip 02539 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679625255 | Brian Stuart Cullen | Dentist | 258 Edgartown Rd., Unit 2, Edgartown, MA 02539 | 2007-01-17 |
| 1235657255 | Edgartown Dental Group LLC | Dentist | 207 Upper Main St, Edgartown, MA 02539-5927 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213821 | Rebekah Collins | Dentist | 95 University Ave Unit 2232, Westwood, MA 02090-2379 | 2020-10-22 |
| 1902405202 | Robert Marc Grassi | Dentist | 18 Sussex Rd, Winchester, MA 01890-3849 | 2020-10-19 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1548877897 | Alexandra Gilbert | Dentist | 15 Williams St, Beverly, MA 01915-2323 | 2020-09-29 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.