Provider Demographics
NPI:1770635369
Name:HAYDEN MANAGEMENT, INC.
Entity Type:Organization
Organization Name:HAYDEN MANAGEMENT, INC.
Other - Org Name:BOSTON CHINATOWN DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOASJOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-451-3839
Mailing Address - Street 1:65 HARRISON AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1924
Mailing Address - Country:US
Mailing Address - Phone:617-451-3839
Mailing Address - Fax:617-451-2722
Practice Address - Street 1:65 HARRISON AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1924
Practice Address - Country:US
Practice Address - Phone:617-451-3839
Practice Address - Fax:617-451-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18678122300000X
MA18631122300000X
MA119081122300000X
MA192551223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty