Provider Demographics
NPI:1235128687
Name:RITCHIE, DAVID BRUCE (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRUCE
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 501
Mailing Address - Street 2:1811 LOCKHART BLVD
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-0501
Mailing Address - Country:US
Mailing Address - Phone:209-728-3959
Mailing Address - Fax:209-728-2958
Practice Address - Street 1:272 W SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:SAN ANDREAS
Practice Address - State:CA
Practice Address - Zip Code:95249-9664
Practice Address - Country:US
Practice Address - Phone:209-754-3816
Practice Address - Fax:209-754-3818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA196651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice