Provider Demographics
NPI:1275131013
Name:ELDEN M RICE DDS PC
Entity Type:Organization
Organization Name:ELDEN M RICE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELDEN
Authorized Official - Middle Name:MURRAY
Authorized Official - Last Name:RICE
Authorized Official - Suffix:I
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-280-3506
Mailing Address - Street 1:3712 CANYON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3198
Mailing Address - Country:US
Mailing Address - Phone:605-342-3939
Mailing Address - Fax:605-341-2766
Practice Address - Street 1:3712 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3198
Practice Address - Country:US
Practice Address - Phone:605-342-3939
Practice Address - Fax:605-341-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental