Provider Demographics
NPI:1003275371
Name:RICHARDS & RIBITCH DENTISTRY PLLC
Entity Type:Organization
Organization Name:RICHARDS & RIBITCH DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-772-1344
Mailing Address - Street 1:1020 E ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2911
Mailing Address - Country:US
Mailing Address - Phone:989-772-1344
Mailing Address - Fax:989-779-9770
Practice Address - Street 1:1020 E ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2911
Practice Address - Country:US
Practice Address - Phone:989-772-1344
Practice Address - Fax:989-779-9770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI204101223G0001X
MI131961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty