Riccobene & Associates I, DDS, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RICCOBENE & ASSOCIATES I, DDS, P.A.

Doing business as

Riccobene Associates Family Dentistry - Shallotte

Practice address

301 S Willis Dr Ste 100
Shallotte, NC 28470-3445

Phone

(910) 597-0064

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Michael Riccobene

Title

Ceo

Phone

(910) 583-6172

Specialties & licenses 1

Addresses

Other names 1

• Riccobene Associates Family Dentistry - Shallotte Doing business as

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1972266237",
    "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": "910-585-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WILLIS DR STE 100",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703445",
            "telephone_number": "910-597-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCOBENE & ASSOCIATES I, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "RICCOBENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-583-6172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riccobene Associates Family Dentistry - Shallotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rha Health Services NC, LLC
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• Heather Michelle Rider
• Jason Keeley Riemann, D.C.
• Linda Sue Rieth, PHD, LPCA, AFC
• Danielle Ritch

• General Practice Dentistry in Shallotte, NC
• Providers in Shallotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.