Individual
JASON M RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 COMMERCE CENTER DR UNIT 155, JACKSONVILLE, FL 32225-8803
(904) 483-3022
(904) 483-3025
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000332100
—
FL
Enumeration date
06/23/2008
Last updated
05/06/2010
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