Active NPIIndividual providerSole proprietor

Dr. Derek E Hathaway, DMD

Dentist in Greenville, Rhode Island

NPI Number1417911330
Practice location
595 Putnam Pike, Greenville, RI 02828-2137
Fax
—
Last updated
November 13, 2009

Derek E Hathaway is a Dentist based in Greenville, RI. Derek E Hathaway practices in Greenville, RI and has the professional credentials of DMD. The NPI Number for Derek E Hathaway is 1417911330 and holds a License No. DS035454 (PA). The current practice location address for Derek E Hathaway is 595 Putnam Pike, Greenville, RI 02828-2137 and can be reached out via phone at 401-949-1420.

Provider Profile Details

NPI Number
1417911330
Provider Name
Derek E Hathaway
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
595 Putnam Pike, Greenville, RI 02828-2137
Phone Number
401-949-1420
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2006
Last Update Date
November 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
595 Putnam Pike
Greenville, RI 02828-2137
Zip
02828-2137
Phone Number
401-949-1420
Greenville, RI 02828Get directions →

Provider Business Mailing Address Details

Address
595 Putnam Pike
Greenville, RI 02828-2137
City
Greenville
State
RI
Zip
02828-2137
Phone Number
401-949-1420

License Information

License Number (1)
DS035454
License State (1)
PA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DEN02968
License State (2)
RI
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derek E Hathaway, DMD?

The NPI number of Dr. Derek E Hathaway, DMD is 1417911330. It was assigned on April 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek E Hathaway, DMD?

Dr. Derek E Hathaway, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in PA under license number DS035454.

Where does Dr. Derek E Hathaway, DMD practice?

The practice location is 595 Putnam Pike, Greenville, RI 02828-2137. The office can be reached at 401-949-1420 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417911330 directly on the NPPES registry website.

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