# RICE ORAL MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194349928
- **Authorized official:** DR. JEREMY GRANT RICE DO, DMD (PRESIDENT)
- **Authorized official phone:** (412) 223-5880

## Contact information

- **Practice address:** 1416 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2206
- **Practice address phone:** (412) 779-0620
- **Mailing address:** 1416 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2206
- **Mailing address phone:** (412) 223-5880
- **Mailing address fax:** (214) 223-5883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 10/11/2021