Provider Demographics
NPI:1184690919
Name:RICE DENTISTRY OF CHRISTIANSBURG PC
Entity type:Organization
Organization Name:RICE DENTISTRY OF CHRISTIANSBURG PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-204-1766
Mailing Address - Street 1:601 ROANOKE ST
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3142
Mailing Address - Country:US
Mailing Address - Phone:540-382-0201
Mailing Address - Fax:540-382-5056
Practice Address - Street 1:601 ROANOKE ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-3142
Practice Address - Country:US
Practice Address - Phone:540-382-0201
Practice Address - Fax:540-382-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty