Provider Demographics
NPI:1922120146
Name:NATHANIEL RITTER DDS, MSD, INC.
Entity Type:Organization
Organization Name:NATHANIEL RITTER DDS, MSD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-890-9600
Mailing Address - Street 1:8769 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1331
Mailing Address - Country:US
Mailing Address - Phone:937-890-9600
Mailing Address - Fax:937-890-9915
Practice Address - Street 1:8769 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1331
Practice Address - Country:US
Practice Address - Phone:937-890-9600
Practice Address - Fax:937-890-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0157951223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty