Provider Demographics
NPI:1851314504
Name:RICE, DENINE T (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DENINE
Middle Name:T
Last Name:RICE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 TIBBETTS ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2604
Mailing Address - Country:US
Mailing Address - Phone:951-683-3030
Mailing Address - Fax:951-683-5845
Practice Address - Street 1:3731 TIBBETTS ST
Practice Address - Street 2:SUITE 8
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2604
Practice Address - Country:US
Practice Address - Phone:951-683-3030
Practice Address - Fax:951-683-5845
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA443001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics