Provider Demographics
NPI:1962258103
Name:RICE, HAYLEY (DMD)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 E 100 S
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:UT
Mailing Address - Zip Code:84004-1730
Mailing Address - Country:US
Mailing Address - Phone:801-960-7013
Mailing Address - Fax:
Practice Address - Street 1:11020 N 5500 W
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-9643
Practice Address - Country:US
Practice Address - Phone:801-756-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139202479923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist