Dr. Michael J. Riccio
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Ipswich, MA
NPI 1831256262 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831256262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 15392 (MA)
- Legal business name
- DR. MICHAEL J. RICCIO
- Practice address
- 1 N Main St
Ipswich, MA 01938-2217 - Phone
- (978) 356-4127
- Fax
- (978) 356-7782
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael James Riccio, DMD
- Title
- President
- Phone
- (978) 356-4127
Practitioners 1
-
Michael J Riccio, DMD
National Provider Directory
Locations
1 N Main St
Ipswich, MA 01938
Phone (978) 356-4127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 15392 | MA | Yes |
Addresses
Primary practice location
1 N Main St
Ipswich, MA 01938-2217
Mailing address
1 N Main St
Ipswich, MA 01938-2217
Phone (978) 356-4127
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All providers in Ipswich, MA · Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.