Provider Demographics
NPI:1922143411
Name:RICE, SYLVIA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:R
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 1:46 FAIRLAWN LN
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-2807
Mailing Address - Country:US
Mailing Address - Phone:631-698-4421
Mailing Address - Fax:631-434-7156
Practice Address - Street 1:1247 SUFFOLK AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4518
Practice Address - Country:US
Practice Address - Phone:631-434-7156
Practice Address - Fax:631-434-7156
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0390601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice