MEDICARE: DR. STEVEN JOHN RITZI 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	1223G0001X	General Practice Dentistry	30-01-9369	OH

General Provider Information

NPI Number	:	1598803231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JOHN RITZI D.D.S

Provider Business Mailing Address
First Line	:	2554 MERRIMONT DR
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-4534
Country	:	US
Telephone Number	:	937-440-8038
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 S GARBER DR
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-1183
Country	:	US
Telephone Number	:	937-667-2314
Fax Number	:

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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