Distinctive Dentistry
NPI #1063649549 in Greenville, Rhode Island
Provider Information
- NPI Number
- 1063649549
- Entity Type
- Organization
- Organization Name
- Distinctive Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 11, 2009
- Last Updated
- May 26, 2011
Practice Location
- Address
- 595 PUTNAM PIKE
- City
- Greenville
- State
- Rhode Island
- ZIP Code
- 02828-2137
- Phone
- (401) 949-1420
Authorized Official
- Name
- DR. DEREK E HATHAWAY, DMD
- Title
- PRESIDENT
- Phone
- (401) 949-1420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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