Healthcare Provider Details

I. General information

NPI: 1376381830
Provider Name (Legal Business Name): REGINALD CHRISTIAN RICE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 TOWN CENTER BLVD STE 280
EL DORADO HILLS CA
95762-7138
US

IV. Provider business mailing address

2320 DIAS DR
PLACERVILLE CA
95667-9626
US

V. Phone/Fax

Practice location:
  • Phone: 916-358-8722
  • Fax:
Mailing address:
  • Phone: 530-417-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDT-3185-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: