Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek E Hathaway, DMD

Individual provider Dentist · NPI 1417911330

Dr. Derek E Hathaway, DMD is a Dentist in Greenville, Rhode Island. Practices as a sole proprietor. Licensed in Pennsylvania and Rhode Island.

Licensed in
PA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

595 Putnam Pike
Greenville, RI 02828-2137
Phone: (401) 949-1420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN02968 (RI)
Dentist Taxonomy 122300000X · Licence DS035454 (PA)

Record details

NPI number1417911330
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 17, 2006
Last updated in NPPESNovember 13, 2009
Mailing address595 Putnam Pike, Greenville, RI 02828-2137

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