MEDICARE: DR. LLOYD K RITCHIE JR. D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN0011681	FL

General Provider Information

NPI Number	:	1386645810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LLOYD K RITCHIE JR. D.D.S.

Provider Business Mailing Address
First Line	:	9320 N PALAFOX ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32534-3040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9320 N PALAFOX ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32534-3040
Country	:	US
Telephone Number	:	850-494-2292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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