Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael David Dick, DO

Individual provider Family Medicine Physician · NPI 1912345430

Michael David Dick, DO is a Family Practice in Pawtucket, Rhode Island. Qualified in 2013, 13 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 Brewster St Fcc Team B
Pawtucket, RI 02860-4474
Phone: (401) 729-2206
Fax: (401) 729-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LP02881 (RI)

Record details

NPI number1912345430
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESJune 6, 2013
Mailing address111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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