Rice Road Dental Associates, P.a. | |
5613 S Donnybrook Ave Tyler TX 75703 | |
(903) 561-3411 | |
(903) 581-7014 |
Full Name | Rice Road Dental Associates, P.a. |
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Speciality | Dentist |
Location | 5613 S Donnybrook Ave, Tyler, Texas |
Authorized Official Name and Position | Meleaha T. Morton (OFFICE MANAGER) |
Authorized Official Contact | 9035613411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rice Road Dental Associates, P.a. 5613 S Donnybrook Ave Tyler TX 75703 Ph: (903) 561-3411 | Rice Road Dental Associates, P.a. 5613 S Donnybrook Ave Tyler TX 75703 Ph: (903) 561-3411 |
NPI Number | 1275955486 |
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Provider Enumeration Date | 01/08/2014 |
Last Update Date | 12/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275955486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8662 (Texas) | Primary |
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