Provider Demographics
NPI:1437563574
Name:RICE, ANDREA D (DDS)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:RICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 E 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-4101
Mailing Address - Country:US
Mailing Address - Phone:620-221-7737
Mailing Address - Fax:
Practice Address - Street 1:2107 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-4101
Practice Address - Country:US
Practice Address - Phone:620-221-7737
Practice Address - Fax:620-221-2351
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist