# RICCOBENE & ASSOCIATES I, DDS, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Riccobene Associates Family Dentistry- Southport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023616596
- **Authorized official:** MICHAEL RICCOBENE (OWNER)
- **Authorized official phone:** (919) 853-6172

## Contact information

- **Practice address:** 2831 MIDWAY RD SE STE 116, BOLIVIA, NC 28422-8377
- **Practice address phone:** (910) 408-4436
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 11/16/2023