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Contact Information

RICE ROAD DENTAL ASSOCIATES, P.A.
5613 S DONNYBROOK AVE
TYLER, TX75703
 Phone: 903-561-3411
 Fax: 903-581-7014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RICE ROAD DENTAL ASSOCIATES PA · (Female)

NPI Number 1275955486
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2014
Last updated 12/16/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 8662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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