Distinctive Dentistry
NPI 1063649549ActiveOrganization· Dentist· Greenville, RI
Dentist in Greenville, Rhode Island, registered in NPPES in June 2009. The authorized official on file is Derek E. Hathaway, DMD, President.
Overview
| NPI | 1063649549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2009 |
| Last updated in NPPES | May 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Greenville
- 1164809273
- 1609491349
- 1104964063
- 1285294538
- 1417911330
- 1710599246
- 1841327608
- 1972439099