Provider Demographics
NPI:1942914742
Name:RICE DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:RICE DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:LORIN
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-683-7483
Mailing Address - Street 1:15785 LAGUNA CANYON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3166
Mailing Address - Country:US
Mailing Address - Phone:949-551-5902
Mailing Address - Fax:
Practice Address - Street 1:15785 LAGUNA CANYON RD STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3166
Practice Address - Country:US
Practice Address - Phone:949-551-5902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty