OrganizationActive
Distinctive Dentistry
NPI 1063649549 · Dentist · Greenville, RI
Distinctive Dentistry is a Dentist organization in Greenville, RI (NPI 1063649549).
Provider details
- NPI number
- 1063649549
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Derek Hathaway, President(401) 949-1420
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
595 Putnam Pike
Greenville, RI 02828-2137
Phone: (401) 949-1420
Fax: (401) 949-5494
Street-level locationGet directions
Mailing address
595 Putnam Pike
Greenville, RI 02828-2137
Registry dates
- Enumerated
- 2009-06-11
- Last updated
- 2011-05-26
Frequently asked questions
- What is Distinctive Dentistry's NPI number?
- Distinctive Dentistry's National Provider Identifier (NPI) is 1063649549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Distinctive Dentistry?
- Distinctive Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Distinctive Dentistry located?
- Distinctive Dentistry's practice location on file with NPPES is 595 Putnam Pike, Greenville, RI 02828-2137.
- What is Distinctive Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Distinctive Dentistry is (401) 949-1420.
- Who is the authorized official for Distinctive Dentistry?
- The authorized official listed on Distinctive Dentistry's NPPES record is Derek Hathaway, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Distinctive Dentistry's NPI active?
- Yes — Distinctive Dentistry's NPI (1063649549) is active in the NPPES registry as of the last update on 2011-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.