Provider Demographics
NPI:1215014758
Name:RITCHEY, HOWARD GRANT II (DDS)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:GRANT
Last Name:RITCHEY
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:H.
Other - Middle Name:GRANT
Other - Last Name:RITCHEY
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:TONGANOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:66086-0214
Mailing Address - Country:US
Mailing Address - Phone:913-845-3231
Mailing Address - Fax:913-845-3785
Practice Address - Street 1:504 E 4TH ST
Practice Address - Street 2:
Practice Address - City:TONGANOXIE
Practice Address - State:KS
Practice Address - Zip Code:66086-8920
Practice Address - Country:US
Practice Address - Phone:913-845-3231
Practice Address - Fax:913-845-3785
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS63301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice