Riccobene & Associates Liii, DDS, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RICCOBENE & ASSOCIATES LIII, DDS, PA

Doing business as

Airlie Oral Surgery

Practice address

2001 S Baxter Dr
Leland, NC 28451-0139

Phone

(910) 769-1605

NPI assigned

Mar 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael RiccobeneNPI 1821171083

Title

Owner

Phone

(919) 585-5205

Specialties & licenses 1

Addresses

Other names 1

• Airlie Oral Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Riccobene, DDS

  • General Practice Dentistry
  • Garner, NC
  • NPI 1821171083
  NPD Authorized official
• Mark Christopher Austin, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Leland, NC
  • NPI 1457427924
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1336898675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BAXTER DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BAXTER DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510139",
            "telephone_number": "910-769-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES LIII, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-585-5205"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airlie Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Airlie Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Kathryn Rathbone
• Vicky Redd
• Tamara Eve Reilly, PSY.D., M.A.
• Emily Reynolds
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Leland)
• Erika Lynn Ridgway, OD
• Anthony Rigard, PHARMD
• Riverbough Counseling (Riverbough Counseling, PLLC)
• Rizzo Enterprises, Inc. (North Brunswick Chiropractic)
• Christopher Peter Rizzo, D.C.

• Oral and Maxillofacial Surgery (Dentist) in Leland, NC
• Providers in Leland, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.