NPIMap

Organization Active NPI

Riccobene & Associates I, DDS, P.a.

Doing business as Riccobene Associates Family Dentistry - Selma

  • General Practice Dentistry
  • Selma, NC
National Provider Identifier
1497834642
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6718 Issued in NC
Legal business name
RICCOBENE & ASSOCIATES I, DDS, P.A.
Doing business as
Riccobene Associates Family Dentistry - Selma
Practice address
1111 S Pollock St
Selma, NC 27576-2933
Phone
(919) 965-2552
Fax
(919) 965-2524
NPI assigned
Nov 6, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Michael Riccobene
Title
Owner
Phone
(910) 853-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6718 NC Primary

Addresses

Primary practice location

1111 S Pollock St
Selma, NC 27576-2933

Mailing address

PO Box 749625
Atlanta, GA 30374-9625
Phone (919) 585-5205

Other names 1

  • Riccobene Associates Family Dentistry - Selma Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riccobene Associates I DDS PA35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1497834642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749625",
            "telephone_number": "919-585-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S POLLOCK ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275762933",
            "telephone_number": "919-965-2552",
            "fax_number": "919-965-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES I, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-853-6172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riccobene Associates Family Dentistry - Selma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.