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

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