Provider Demographics
NPI:1366741100
Name:RITCHIE, ANGELA (DDS)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:451 E MARKET ST
Mailing Address - Street 2:APT 269
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2635
Mailing Address - Country:US
Mailing Address - Phone:219-742-4998
Mailing Address - Fax:
Practice Address - Street 1:1121 W MICHIGAN ST
Practice Address - Street 2:RM S121
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5211
Practice Address - Country:US
Practice Address - Phone:317-274-5142
Practice Address - Fax:317-278-3018
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12012539A1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology