Provider Demographics
NPI:1053501072
Name:RIFE, DEANNE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEANNE
Middle Name:M
Last Name:RIFE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5899 WHITFIELD AVE.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243
Mailing Address - Country:US
Mailing Address - Phone:941-351-4468
Mailing Address - Fax:941-351-9361
Practice Address - Street 1:5899 WHITFIELD AVE.
Practice Address - Street 2:SUITE 105
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243
Practice Address - Country:US
Practice Address - Phone:941-351-4468
Practice Address - Fax:941-351-9361
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-129481223G0001X
FL12948DN1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice