Organization
DEREK RICE DDS PLLC
Active
Other names
Copper Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK JAMES RICE DDS (OWNER/PROVIDER)
(231) 946-2497
Entity
Organization
Contact information
Practice address
4020 COPPER VW STE 200, TRAVERSE CITY, MI 49684-7041
(231) 946-2497
Mailing address
4020 COPPER VW STE 200, TRAVERSE CITY, MI 49684-7041
(231) 946-2497
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/20/2022
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