Distinctive Dentistry
Distinctive Dentistry is a healthcare organization registered as Dentist in Greenville, RI, holding Type 2 (organization) NPI 1063649549 since 2009. The authorized official on file is Derek Hathaway, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063649549 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Distinctive Dentistry |
| Practice address | 595 PUTNAM PIKE, Greenville, RI, 02828 |
| Phone | 4019491420 |
| Fax | 4019495494 |
| Enumeration date | 2009-06-11 |
| Last updated in NPPES | 2011-05-26 |
Authorized official
| Name | Derek Hathaway |
|---|---|
| Title | President |
| Phone | 4019491420 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI83209 | Medicaid | RI | — |
Copy-ready billing details
Provider: Distinctive Dentistry NPI: 1063649549 Taxonomy: 122300000X (Dentist) Address: 595 PUTNAM PIKE, Greenville, RI, 02828
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417911330 | Derek Hathaway | Individual | Dentist | Greenville, RI |
| 1326005463 | Paul Osenkowski | Individual | General Practice Dentistry | Greenville, RI |
| 1164809273 | Jean Resnevic, Dmd, LLC | Organization | Dentist | Greenville, RI |
Verify this record
Cross-check NPI 1063649549 against the authoritative CMS record: view Distinctive Dentistry on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Distinctive Dentistry?
What is the NPI number for Distinctive Dentistry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-26.