Healthcare Provider Details

I. General information

NPI: 1992068035
Provider Name (Legal Business Name): SALEHA MAHMUD-RITTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 YORK RD
BALTIMORE MD
21212-2032
US

IV. Provider business mailing address

421 CHEW ST
ALLENTOWN PA
18102-3406
US

V. Phone/Fax

Practice location:
  • Phone: 410-377-2000
  • Fax:
Mailing address:
  • Phone: 610-776-4802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number16738
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS039077
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14876
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: