| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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