Organization
RITTENHOUSE DENTISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON L. RICHTER D.M.D.,, PH.D. (PRESIDENT)
(215) 545-8600
Entity
Organization
Contact information
Practice address
1801 PINE ST, PHILADELPHIA, PA 19103-6601
(215) 545-8600
Mailing address
1801 PINE ST, PHILADELPHIA, PA 19103-6601
(215) 545-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017231L
PA
1223P0300X
Periodontics
DS017231L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15524098
DRIVER'S LISENCE
PA
Enumeration date
01/23/2007
Last updated
09/12/2008
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