Individual
DR. MICHAEL SHAWN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4710 VILLAGE SQUARE DR, PADUCAH, KY 42001-7438
(270) 534-1991
(270) 534-1993
Mailing address
110 PLANTATION WAY, WEST PADUCAH, KY 42086-9441
(270) 488-2160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.025255
IL
122300000X
Dentist
7417
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021.001967
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
670
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000544
—
KY
Enumeration date
04/20/2007
Last updated
06/22/2022
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