Healthcare Provider Details

I. General information

NPI: 1699258053
Provider Name (Legal Business Name): JAMES E. RICE DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2554 LEWISVILLE CLEMMONS RD SUITE 4
CLEMMONS NC
27012
US

IV. Provider business mailing address

3622 MORGANTON RD
FAYETTEVILLE NC
28303
US

V. Phone/Fax

Practice location:
  • Phone: 336-766-0511
  • Fax: 336-766-7390
Mailing address:
  • Phone: 910-868-6001
  • Fax: 910-864-8771

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 Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAYA S POUNDS
Title or Position: FINANCIAL MANAGER
Credential:
Phone: 336-766-0511