| Distinctive Dentistry | |
|
595 Putnam Pike Greenville RI 02828-2137 | |
| (401) 949-1420 | |
| (401) 949-5494 |
| Full Name | Distinctive Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 595 Putnam Pike, Greenville, Rhode Island |
| Authorized Official Name and Position | Derek E Hathaway (PRESIDENT) |
| Authorized Official Contact | 4019491420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dentistry 595 Putnam Pike Greenville RI 02828-2137 Ph: () - | Distinctive Dentistry 595 Putnam Pike Greenville RI 02828-2137 Ph: (401) 949-1420 |
| NPI Number | 1063649549 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063649549 | NPI | - | NPPES |
| DI83209 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Tammy J. Clifford, Dds, A Professional Service Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Putnam Pike, Greenville, RI 02828 Phone: 401-231-4407 | |
Jean Resnevic, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Putnam Pike, Greenville, RI 02828 Phone: 401-949-8160 Fax: 401-949-8163 | |
Scott B. Klimaj, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Garnett Ln, Suite 8, Greenville, RI 02828 Phone: 401-949-3200 Fax: 401-949-5213 | |
Calvin Wilson, Dds, A Professional Service Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Putnam Pike, Greenville, RI 02828 Phone: 401-231-4407 | |
Patrick J Mcguirk Dds, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 532 Putnam Pike, Greenville, RI 02828 Phone: 401-949-3640 Fax: 401-949-3188 |