Provider Demographics
NPI:1376762096
Name:RITTER, ALESSANDRA LUISA DE SOUZA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ALESSANDRA
Middle Name:LUISA DE SOUZA
Last Name:RITTER
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:501 EASTOWNE DR STE 155
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6231
Mailing Address - Country:US
Mailing Address - Phone:919-403-5000
Mailing Address - Fax:919-403-5001
Practice Address - Street 1:501 EASTOWNE DR STE 155
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6231
Practice Address - Country:US
Practice Address - Phone:919-403-5000
Practice Address - Fax:919-403-5001
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC83961223E0200X
VA04014116581223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics