Provider Demographics
NPI:1598739914
Name:RITTER, CHRIS EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:EDWARD
Last Name:RITTER
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 1:113 E 7TH ST
Mailing Address - Street 2:PO BOX 310
Mailing Address - City:MANTON
Mailing Address - State:MI
Mailing Address - Zip Code:49663-9429
Mailing Address - Country:US
Mailing Address - Phone:231-824-3711
Mailing Address - Fax:231-824-3035
Practice Address - Street 1:113 E 7TH ST
Practice Address - Street 2:
Practice Address - City:MANTON
Practice Address - State:MI
Practice Address - Zip Code:49663-9429
Practice Address - Country:US
Practice Address - Phone:231-824-3711
Practice Address - Fax:231-824-3035
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID116241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice