Healthcare Provider Details

I. General information

NPI: 1609285261
Provider Name (Legal Business Name): COLIN DANIEL RICE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 BEAR CHRISTIANA RD
BEAR DE
19701-1039
US

IV. Provider business mailing address

494 BEAR CHRISTIANA RD
BEAR DE
19701-1039
US

V. Phone/Fax

Practice location:
  • Phone: 302-838-3384
  • Fax:
Mailing address:
  • Phone: 302-838-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS039996
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberG1-0011510
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: