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NPI Code Detail

MEDICARE: RICE ORAL MAXILLOFACIAL SURGERY PC

MEDICARE: RICE ORAL MAXILLOFACIAL SURGERY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number : 1194349928
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICE ORAL MAXILLOFACIAL SURGERY PC
Provider Business Mailing Address
First Line : 1416 MOUNT ROYAL BLVD
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-2206
Country : US
Telephone Number : 412-223-5880
Fax Number : 214-223-5883
Provider Business Practice Location Address
First Line : 1416 MOUNT ROYAL BLVD
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-2206
Country : US
Telephone Number : 412-779-0620
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEREMY GRANT RICE
Credential : DO, DMD
Telephone Number : 412-223-5880
Provider Enumeration Date : 06/08/2020
Last Update Date : 10/11/2021

Similar Medicare Providers

1750698387 — DR. JEREMY GRANT RICE D.O., D.M.D.
Practice Location Address:
1416 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2206
Practice Phone: 412-779-0620
Practice Fax:
1205360427 — DR. DANIEL KIRKPATRICK DDS
Practice Location Address:
1416 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2206
Practice Phone: 412-223-5880
Practice Fax: 412-223-5883
1184627879 — JENNIFER R ROMERO MD
Practice Location Address:
3394 SAXONBURG BLVD , SUITE 600
GLENSHAW, PA
15116-3168
Practice Phone: 412-767-0707
Practice Fax: 412-767-0708
1083606701 — VALERIE P DONALDSON MD
Practice Location Address:
3447 HARTS RUN RD , SUITE C
GLENSHAW, PA
15116-3027
Practice Phone: 412-767-9890
Practice Fax: 412-767-9451
1841275351 — DR. LEROY EDWARD PRYOR D. M. D.
Practice Location Address:
1724 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2115
Practice Phone: 412-213-1999
Practice Fax: 412-213-6985
1952389652 — DR. DARRELL JAMES BOLIN D.C.
Practice Location Address:
1401R MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2205
Practice Phone: 412-487-6266
Practice Fax: 412-487-6494

Directions to “RICE ORAL MAXILLOFACIAL SURGERY PC ” Practice Location

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