| Rice Oral Maxillofacial Surgery Pc | |
|
1416 Mount Royal Blvd Glenshaw PA 15116-2206 | |
| (412) 779-0620 | |
| Not Available |
| Full Name | Rice Oral Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 1416 Mount Royal Blvd, Glenshaw, Pennsylvania |
| Authorized Official Name and Position | Jeremy Grant Rice (PRESIDENT) |
| Authorized Official Contact | 4122235880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rice Oral Maxillofacial Surgery Pc 1416 Mount Royal Blvd Glenshaw PA 15116-2206 Ph: (412) 223-5880 | Rice Oral Maxillofacial Surgery Pc 1416 Mount Royal Blvd Glenshaw PA 15116-2206 Ph: (412) 779-0620 |
| NPI Number | 1194349928 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 4789085168 |
|---|---|
| Medicare Enrollment ID | O20210623000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194349928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeremy G Rice |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750698387 PECOS PAC ID: 7517156995 Enrollment ID: I20110118000068 |
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