Hathaway, Derek E

Hathaway, Derek E is an sole proprietor health care provider with primary practice located at 595 Putnam Pike , Greenville RI 02828-2137. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hathaway, Derek E can be contacted via phone (401) 949-1420.

Contact Information

Primary practice address
595 Putnam Pike Greenville RI 02828-2137
Phone: (401) 949-1420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS035454 Pennsylvania
Dental Providers / Dentist 122300000X DEN02968 Rhode Island

Profile Details

NPI number 1417911330
LBN Legal business name Hathaway, Derek E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Nov 13th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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