Provider Demographics
NPI:1356511406
Name:RICE, ELDEN MURRAY (DDS)
Entity type:Individual
Prefix:DR
First Name:ELDEN
Middle Name:MURRAY
Last Name:RICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 W US HIGHWAY 50
Mailing Address - Street 2:STE A-100
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-1571
Mailing Address - Country:US
Mailing Address - Phone:719-542-2472
Mailing Address - Fax:719-542-6435
Practice Address - Street 1:2025 W US HIGHWAY 50
Practice Address - Street 2:STE A-100
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1571
Practice Address - Country:US
Practice Address - Phone:719-542-2472
Practice Address - Fax:719-542-6435
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice