Individual
WILLIAM OSCAR RIVES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1029 HIGHWAY 51 STE D, MADISON, MS 39110-7648
(601) 605-2525
(601) 605-2524
Mailing address
1029 HIGHWAY 51 STE D, MADISON, MS 39110-7648
(601) 605-2525
(601) 605-2524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3207
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06684372
—
MS
Enumeration date
10/04/2006
Last updated
07/08/2007
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