Provider Demographics
NPI:1760539779
Name:RITCHEY, BRYAN P (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:P
Last Name:RITCHEY
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 1:8803 GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1649
Mailing Address - Country:US
Mailing Address - Phone:713-461-5770
Mailing Address - Fax:713-461-6744
Practice Address - Street 1:8803 GAYLORD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1649
Practice Address - Country:US
Practice Address - Phone:713-461-5770
Practice Address - Fax:713-461-6744
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20618122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist