Provider Demographics
NPI:1043785173
Name:JAMIE L. RITCHIE, D.D.S., P.A.
Entity Type:Organization
Organization Name:JAMIE L. RITCHIE, D.D.S., P.A.
Other - Org Name:CASCADE DENTAL CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-841-3311
Mailing Address - Street 1:1425 WAKARUSA DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4287
Mailing Address - Country:US
Mailing Address - Phone:785-841-3311
Mailing Address - Fax:785-843-0421
Practice Address - Street 1:1425 WAKARUSA DR STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4287
Practice Address - Country:US
Practice Address - Phone:785-841-3311
Practice Address - Fax:785-843-0421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty