Provider Demographics
NPI:1942207865
Name:RICE, JANET HATCHER (DDS)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:HATCHER
Last Name:RICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-2312
Mailing Address - Country:US
Mailing Address - Phone:423-989-7733
Mailing Address - Fax:423-989-7632
Practice Address - Street 1:136 EDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2312
Practice Address - Country:US
Practice Address - Phone:423-989-7733
Practice Address - Fax:423-989-7632
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS004541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU48529Medicare UPIN