Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093735524 Individual Practitioner Male Practitioner

Dr. Dimitri George Ganim , DDS

Dentist - General Practice • Pawtucket, RI

Professional Overview & Biography Verified Profile Summary

Dr. Dimitri Ganim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pawtucket, RI. Practice services are available at 878 NEWPORT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

878 Newport Ave

Pawtucket, RI 028612642

Telephone 4017256140
Fax 4017268045
Associated Practice Facility / Clinic
🏢 Dimitri G. Gamim, Dds Facility NPI 1447491881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pawtucket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Pawtucket, RI (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI 1661

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Rodney Thomas , DMD

Dentist - Endodontics

NPI 1477726800

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 878 NEWPORT AVE, PAWTUCKET, RI 028612642 (Tel: 4017256140)

📍
Updated Business Mailing Address July 08, 2007

Registered at 878 NEWPORT AVE, PAWTUCKET, RI 028612642 (Tel: 4017256140)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIMITRI GANIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1661 in RI)

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093735524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

878 Newport Ave

Pawtucket, RI 028612642

Phone: 4017256140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.