Distinctive Dentistry

LBN: Distinctive Dentistry
Distinctive Dentistry is an health care organization with primary practice located at 595 Putnam Pike , Greenville RI 02828-2137. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Distinctive Dentistry can be contacted via phone (401) 949-1420, or through Hathaway, Derek E via phone (401) 949-1420.

Contact Information

Primary practice address
595 Putnam Pike Greenville RI 02828-2137
Phone: (401) 949-1420
Fax: (401) 949-5494
Website:
Map and Directions
Authorized official contact:
Name: Hathaway, Derek E Doctor of Dental Medicine (DMD)
Phone: (401) 949-1420

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1063649549
LBN Legal business name Distinctive Dentistry
DBA Doing business as
Authorized official Hathaway, Derek E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2009
Last updated May 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063649549 NPPES
Rhode Island MEDICAID DI83209

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