Provider Demographics
NPI:1699258053
Name:JAMES E. RICE DDS PA
Entity type:Organization
Organization Name:JAMES E. RICE DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-766-0511
Mailing Address - Street 1:3622 MORGANTON RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303
Mailing Address - Country:US
Mailing Address - Phone:910-868-6001
Mailing Address - Fax:910-864-8771
Practice Address - Street 1:2554 LEWISVILLE CLEMMONS RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012
Practice Address - Country:US
Practice Address - Phone:336-766-0511
Practice Address - Fax:336-766-7390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES E RICE DDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-12
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty