Healthcare Provider Details

I. General information

NPI: 1093375321
Provider Name (Legal Business Name): JAMES D RITTER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 24TH ST E STE 102
DICKINSON ND
58601-6580
US

IV. Provider business mailing address

PO BOX 817
BISMARCK ND
58502-0817
US

V. Phone/Fax

Practice location:
  • Phone: 701-225-3536
  • Fax: 701-483-3523
Mailing address:
  • Phone: 210-885-9054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number11077
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2553
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: