Provider Demographics
NPI:1285812701
Name:RITTER, CLAIRE JUSTINE (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:JUSTINE
Last Name:RITTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8913 N MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1335
Mailing Address - Country:US
Mailing Address - Phone:937-454-1174
Mailing Address - Fax:937-454-1254
Practice Address - Street 1:8913 N MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1335
Practice Address - Country:US
Practice Address - Phone:937-454-1174
Practice Address - Fax:937-454-1254
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0185451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice