Johnny Donald Tice, DDS

Dentist · Hobbs, NM

Individual Active NPI

NPI number 1124541164

Practice location

1710 W Joe Harvey Blvd Ste B
Hobbs, NM 88240-0821
Phone
(888) 988-4066
Fax
(847) 496-4850

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NPI record

NPI
1124541164
Entity type
Individual (Type 1)
Enumeration date
July 21, 2017
Last updated
October 10, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DD4760 NM

Mailing address

2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166
Phone
(888) 988-4066
Fax
(847) 496-4850

About Dr. Tice

Johnny Donald Tice, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1710 W Joe Harvey Blvd Ste B, Hobbs, NM 88240-0821. The NPI number 1124541164 was assigned on July 21, 2017 and the record was last updated on October 10, 2017.

Dr. Tice lists a license in the registry: #DD4760 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Johnny Donald Tice, DDS?

The NPI number is 1124541164.

What is the phone number of Dr. Tice?

The phone number listed for the practice location is (888) 988-4066.

Where is Dr. Tice located?

1710 W Joe Harvey Blvd Ste B, Hobbs, NM 88240-0821.

What is the taxonomy code for Dr. Tice?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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