Riccobene & Associates CC, DDS, PC
Organization Active NPI General Practice Dentistry · MC Kenney, VA
NPI 1154030443 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1154030443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- RICCOBENE & ASSOCIATES CC, DDS, PC
- Practice address
- 10806 Rives Ave
MC Kenney, VA 23872-2041 - Phone
- (804) 621-7631
- NPI assigned
- Nov 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Annette Marlow
- Title
- Credentialing Manager
- Phone
- (330) 994-4533
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Riccobene Associates CC DDS PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
10806 Rives Ave
MC Kenney, VA 23872-2041
Mailing address
10806 Rives Ave
MC Kenney, VA 23872-2041
Phone (804) 621-7631
Other names
- Legacy Dental of McKenney
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- Kimberly Maitland
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- Melissa Leigh Raby
- Samantha Selvage
- Balvinder Singh
- Wayne Starke Sr.
- Steven Castro
- Olympia Williams
All providers in MC Kenney, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. 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.