Provider Demographics
NPI:1235796988
Name:RITCHEY, DANIEL F (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:RITCHEY
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 FRAZIER CT STE 1D
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9026
Mailing Address - Country:US
Mailing Address - Phone:502-570-5700
Mailing Address - Fax:
Practice Address - Street 1:107 FRAZIER CT STE 1D
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9026
Practice Address - Country:US
Practice Address - Phone:502-570-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10416122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist