Austin Matthew Ritter, DDS
Individual provider Active NPI Dentist · Hudson, IA
NPI 1467070060 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1467070060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS-09786 (IA)
- Practice address
- 107 Eldora Rd
Hudson, IA 50643-7747 - Phone
- (319) 988-4131
- NPI assigned
- Jul 9, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09786 | IA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-09786 | IA | Yes |
Addresses
Primary practice location
107 Eldora Rd
Hudson, IA 50643-7747
Mailing address
106 Wood Smoke Rd
Denver, IA 50622-9714
Other providers in Hudson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.