Provider Demographics
NPI:1366569014
Name:RITSCO, RONALD (DMD, MS, PA)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:RITSCO
Suffix:
Gender:M
Credentials:DMD, MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 KIRBY DR
Mailing Address - Street 2:SUITE #207
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1364
Mailing Address - Country:US
Mailing Address - Phone:713-528-0377
Mailing Address - Fax:713-528-1567
Practice Address - Street 1:5311 KIRBY DR. #207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1364
Practice Address - Country:US
Practice Address - Phone:713-528-0377
Practice Address - Fax:713-528-1567
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00215531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0021553OtherSTATE LICENSE NUMBER