Organization
ALEXANDER E. RITCHEY DMD, MS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER E RITCHEY (OWNER)
(815) 725-9130
Entity
Organization
Contact information
Practice address
1713 CAMPBELL ST, JOLIET, IL 60435-5880
(815) 725-9130
Mailing address
1713 CAMPBELL ST, JOLIET, IL 60435-5880
(815) 725-9130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942380571
INDIVIDUAL NPI FOR THE PURPOSE OF SUBMITTING ORTHO CLAIMS TO INSURANCE
IL
Enumeration date
06/11/2012
Last updated
06/11/2012
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