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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, P.A.

NPI # 1275955486
LBN Legal business name RICE ROAD DENTAL ASSOCIATES, P.A.
Authorized official MELEAHA MORTON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2014
Last updated 12/16/2019 - About 6 years ago
Identifiers
TX License # 8662
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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