Provider Demographics
NPI:1164568440
Name:RITENOUR, RALPH EDWARD JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:EDWARD
Last Name:RITENOUR
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 HUMPHREY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4571
Mailing Address - Country:US
Mailing Address - Phone:724-832-4350
Mailing Address - Fax:724-832-4335
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:SUITE 304
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-832-4888
Practice Address - Fax:724-832-4335
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028880L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice