Healthcare Provider Details

I. General information

NPI: 1376650549
Provider Name (Legal Business Name): JAMES E HITCHEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 FISH RD
TIVERTON RI
02878
US

IV. Provider business mailing address

1061 FISH RD
TIVERTON RI
02878
US

V. Phone/Fax

Practice location:
  • Phone: 401-624-6676
  • Fax: 401-624-7667
Mailing address:
  • Phone: 401-624-6676
  • Fax: 401-624-7667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number1494
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: