Provider Demographics
NPI:1760473177
Name:DUHAIME, JOHN E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:DUHAIME
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:5586 POST RD
Mailing Address - Street 2:STE 101
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3454
Mailing Address - Country:US
Mailing Address - Phone:401-884-8110
Mailing Address - Fax:401-886-5510
Practice Address - Street 1:5586 POST RD
Practice Address - Street 2:STE 101
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3454
Practice Address - Country:US
Practice Address - Phone:401-884-8110
Practice Address - Fax:401-886-5510
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI17811223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T79286Medicare UPIN