Healthcare Provider Details

I. General information

NPI: 1942914742
Provider Name (Legal Business Name): RICE DENTAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15785 LAGUNA CANYON RD STE 200
IRVINE CA
92618-3166
US

IV. Provider business mailing address

15785 LAGUNA CANYON RD STE 200
IRVINE CA
92618-3166
US

V. Phone/Fax

Practice location:
  • Phone: 949-551-5902
  • Fax:
Mailing address:
  • Phone: 949-551-5902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT LORIN RICE
Title or Position: PARTNER
Credential: DDS
Phone: 949-683-7483