Individual
ROBERT WAYNE RIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
209 WOODLINE DRIVE, FLOWOOD, MS 39232-9749
(601) 664-2600
(601) 664-2650
Mailing address
209 WOODLINE DRIVE, FLOWOOD, MS 39232-9749
(601) 664-2600
(601) 664-2650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1807-78
MS
Other
Enumeration date
01/14/2014
Last updated
07/16/2014
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