Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 10292 | TN |
NPI | 1043621303 |
---|---|
Provider Name | Dr. Alec Rice |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 19/10/2020 |