Provider Demographics
NPI:1306329867
Name:JAMES E RICE, DDS PA
Entity type:Organization
Organization Name:JAMES E RICE, DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-361-2442
Mailing Address - Street 1:215 N GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-6026
Mailing Address - Country:US
Mailing Address - Phone:571-212-3532
Mailing Address - Fax:
Practice Address - Street 1:3622 MORGANTON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4967
Practice Address - Country:US
Practice Address - Phone:910-868-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1720594740
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental