Carter, Stacey Ritter

Carter, Stacey Ritter is an individual health care provider with primary practice located at 1635 East Pass Road , Gulfport MS 39507. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Carter, Stacey Ritter can be contacted via phone (228) 896-5197.

Contact Information

Primary practice address
1635 East Pass Road Gulfport MS 39507
Phone: (228) 896-5197
Fax: (228) 896-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3543-10 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X 3543-10 Mississippi

Profile Details

NPI number 1497068118
LBN Legal business name Carter, Stacey Ritter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Jul 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497068118 NPPES
Mississippi MEDICAID 05579706

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