MEDICARE: DR. SALEHA MAHMUD-RITTER DDS

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	DS039077	PA
2	1223G0001X	General Practice Dentistry	14876	MD
3	122300000X	Dentist	16738	MD

General Provider Information

NPI Number	:	1992068035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEHA MAHMUD-RITTER DDS

Provider Business Mailing Address
First Line	:	421 CHEW ST
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18102-3406
Country	:	US
Telephone Number	:	610-776-4802
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 YORK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-2032
Country	:	US
Telephone Number	:	410-377-2000
Fax Number	:

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

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	04/03/2024

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