DR. Derek E Hathaway, DMD
NPI #1417911330 in Greenville, Rhode Island
Provider Information
- NPI Number
- 1417911330
- Entity Type
- Individual
- Name
- DR. Derek E Hathaway, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Apr 17, 2006
- Last Updated
- Nov 13, 2009
Practice Location
- Address
- 595 PUTNAM PIKE
- City
- Greenville
- State
- Rhode Island
- ZIP Code
- 02828-2137
- Phone
- (401) 949-1420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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