Provider Demographics
NPI:1366459018
Name:RICE, JOSEPH VAUGHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VAUGHAN
Last Name:RICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 QUARRIER STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-6003
Mailing Address - Country:US
Mailing Address - Phone:304-343-9479
Mailing Address - Fax:304-343-9470
Practice Address - Street 1:1321 QUARRIER STREET
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-6003
Practice Address - Country:US
Practice Address - Phone:304-343-9479
Practice Address - Fax:304-343-9470
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist