Provider Demographics
NPI:1760981765
Name:DIAMOND HILL DENTAL & ASSOCIATES, PC
Entity Type:Organization
Organization Name:DIAMOND HILL DENTAL & ASSOCIATES, PC
Other - Org Name:DIAMOND HILL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABAHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERNETHY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-333-2700
Mailing Address - Street 1:2343 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4703
Mailing Address - Country:US
Mailing Address - Phone:401-333-2700
Mailing Address - Fax:
Practice Address - Street 1:2343 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-4703
Practice Address - Country:US
Practice Address - Phone:401-333-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty