Provider Demographics
NPI:1427250372
Name:RITTENHOUSE DENTAL GROUP
Entity type:Organization
Organization Name:RITTENHOUSE DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:JUANITA
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:202-291-4500
Mailing Address - Street 1:6101 16TH ST NW
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1769
Mailing Address - Country:US
Mailing Address - Phone:202-291-4500
Mailing Address - Fax:202-291-1479
Practice Address - Street 1:6101 16TH ST NW
Practice Address - Street 2:SUITE 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1769
Practice Address - Country:US
Practice Address - Phone:202-291-4500
Practice Address - Fax:202-291-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty