Healthcare Provider Details

I. General information

NPI: 1265408108
Provider Name (Legal Business Name): JAMES C RICE AND ROBERT J DIXEY DDS PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 156 AVE NE STE 101
BELLEVUE WA
98007
US

IV. Provider business mailing address

1855 156 AVE NE STE 101
BELLEVUE WA
98007
US

V. Phone/Fax

Practice location:
  • Phone: 425-641-5560
  • Fax: 425-641-5563
Mailing address:
  • Phone: 425-641-5560
  • Fax: 425-641-5563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5246
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5611
License Number StateWA

VIII. Authorized Official

Name: DR. JAMES C RICE
Title or Position: PRESIDENT
Credential: DDS
Phone: 425-641-5560