| J. Rice Oral Maxillofacial And Aesthetic Facial Surgery P.c. | |
|
90 Beaver Dr Du Bois PA 15801-2440 | |
| (814) 375-0500 | |
| (814) 375-0124 |
| Full Name | J. Rice Oral Maxillofacial And Aesthetic Facial Surgery P.c. |
|---|---|
| Speciality | Dentist |
| Location | 90 Beaver Dr, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Jeffrey W Rice (PRESIDENT) |
| Authorized Official Contact | 8143750500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Rice Oral Maxillofacial And Aesthetic Facial Surgery P.c. 90 Beaver Dr Du Bois PA 15801-2440 Ph: (814) 375-0500 | J. Rice Oral Maxillofacial And Aesthetic Facial Surgery P.c. 90 Beaver Dr Du Bois PA 15801-2440 Ph: (814) 375-0500 |
| NPI Number | 1184671281 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 09/13/2011 |
| Medicare PECOS PAC ID | 3476573981 |
|---|---|
| Medicare Enrollment ID | O20051129000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184671281 | NPI | - | NPPES |
| 1014604560001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeffrey W Rice |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1710968995 PECOS PAC ID: 0840210365 Enrollment ID: I20051129000922 |
| Provider Name | Jeremy G Rice |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750698387 PECOS PAC ID: 7517156995 Enrollment ID: I20110118000068 |
Pa Oral Facial & Implant Surgery Dental Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Suite 101a, Du Bois, PA 15801 Phone: 814-375-0500 Fax: 814-375-0124 |