Provider Demographics
NPI:1467850081
Name:HOWARD GRANT RITCHEY JR
Entity type:Organization
Organization Name:HOWARD GRANT RITCHEY JR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:RITCHEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-845-3231
Mailing Address - Street 1:504 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TONGANOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:66086-8920
Mailing Address - Country:US
Mailing Address - Phone:913-845-3231
Mailing Address - Fax:913-845-3785
Practice Address - Street 1:504 E 4TH ST
Practice Address - Street 2:
Practice Address - City:TONGANOXIE
Practice Address - State:KS
Practice Address - Zip Code:66086-8920
Practice Address - Country:US
Practice Address - Phone:913-845-3231
Practice Address - Fax:913-845-3785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-13
Last Update Date:2014-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
KS6330122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty