Healthcare Provider Details

I. General information

NPI: 1942207865
Provider Name (Legal Business Name): JANET HATCHER RICE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 EDGEMONT AVE
BRISTOL TN
37620-2312
US

IV. Provider business mailing address

136 EDGEMONT AVE
BRISTOL TN
37620-2312
US

V. Phone/Fax

Practice location:
  • Phone: 423-989-7733
  • Fax: 423-989-7632
Mailing address:
  • Phone: 423-989-7733
  • Fax: 423-989-7632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS004541
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: