Robert W.Rives, D.D.S., P.A. in Jackson - Periodontics

Robert W.Rives, D.D.S., P.A. - NPI 1952484701

Robert W.Rives, D.D.S., P.A. is a Periodontics in Jackson, Mississippi. Robert W.Rives, D.D.S., P.A. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Robert W.Rives, D.D.S., P.A. is 1952484701. The last update date is 2020-08-22.

Robert W.Rives, D.D.S., P.A.'s current location address is 1445 Lelia Dr, Jackson, Mississippi. You can contact this provider via phone number 6013667396 and fax number 6103667549. The mailing address for Robert W.Rives, D.D.S., P.A. is 1445 Lelia Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert W.Rives, D.D.S., P.A.
Address 1445 Lelia Dr, Jackson, Mississippi
Phone Number 6013667396
Fax Number 6103667549
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rives Wayne Robert
Credentials D.D.S.
Telephone Number 6013667396

NPI Number Detail

NPI Number 1952484701
Provider Enumeration Date 2006-10-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1445 Lelia Dr
City Jackson
State Mississippi (MS)
Post Code 392164721
Phone Number 6013667396
Fax Number 6103667549

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 1807-78
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Robert W.Rives, D.D.S., P.A.

What is the Robert W.Rives, D.D.S., P.A.'s 1952484701?

The Robert W.Rives, D.D.S., P.A.'s NPI (National Provider Identifier) Number is 1952484701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Robert W.Rives, D.D.S., P.A. located?

The Robert W.Rives, D.D.S., P.A. is located at 1445 Lelia Dr, Jackson, MS 392164721.

What is Robert W.Rives, D.D.S., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert W.Rives, D.D.S., P.A. is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1952484701 to Robert W.Rives, D.D.S., P.A.?

The Centers for Medicare & Medicaid Services assigned the 1952484701 to Robert W.Rives, D.D.S., P.A. on 2006-10-23.

When was the information regarding Robert W.Rives, D.D.S., P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert W.Rives, D.D.S., P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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