Dimitri G. Gamim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1661 Issued in RI

Legal business name

DIMITRI G. GAMIM, DDS

Practice address

878 Newport Ave
Pawtucket, RI 02861-2642

Phone

(401) 725-6140

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dimitri George GanimNPI 1093735524

Title

Owner/Dentist

Phone

(401) 725-6140

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dimitri George Ganim, DDS

  • General Practice Dentistry
  • Pawtucket, RI
  • NPI 1093735524
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1447491881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612642",
            "telephone_number": "401-725-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612642",
            "telephone_number": "401-725-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI G. GAMIM, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "GANIM",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "401-725-6140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Dias
• Joseph A. Diaz, MD
• Alioune Badara Diba
• Michael David Dick, DO
• Abigail Wetzel Dillon, MD
• Yanli Ding, DDS
• Yaoxian Ding, MD
• Charissa Dinobile, M.D.
• Direct Medical Transportation LLC
• Andrew William Dixon, M.D.

• General Practice Dentistry in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.