Organization
J. RICE ORAL MAXILLOFACIAL AND AESTHETIC FACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W RICE D.M.D. (PRESIDENT)
(814) 375-0500
Entity
Organization
Contact information
Practice address
90 BEAVER DR, DU BOIS, PA 15801-2440
(814) 375-0500
(814) 375-0124
Mailing address
90 BEAVER DR, DU BOIS, PA 15801-2440
(814) 375-0500
(814) 375-0124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014604560001
—
PA
Enumeration date
05/27/2006
Last updated
09/13/2011
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