Provider Demographics
NPI:1003283037
Name:DONALD R RICE,DDS,PC
Entity Type:Organization
Organization Name:DONALD R RICE,DDS,PC
Other - Org Name:FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-399-4444
Mailing Address - Street 1:7701 E 1ST PL STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7199
Mailing Address - Country:US
Mailing Address - Phone:303-399-4444
Mailing Address - Fax:303-355-6855
Practice Address - Street 1:7701 E 1ST PL STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7199
Practice Address - Country:US
Practice Address - Phone:303-399-4444
Practice Address - Fax:303-355-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6048261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1841413176OtherMEDICAID ONLY HANDICAPP CHILDREN W DISABILITY