Healthcare Provider Details

I. General information

NPI: 1871667113
Provider Name (Legal Business Name): NANCY HANRATTY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 BERNARDSTON RD
GREENFIELD MA
01301-1238
US

IV. Provider business mailing address

6 EXECUTIVE PARK DR SUITE C
CLIFTON PARK NY
12065-5601
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-3850
  • Fax: 413-773-5300
Mailing address:
  • Phone: 518-348-0240
  • Fax: 518-348-0248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17000
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: