# RICCOBENE & ASSOCIATES CC, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Commonwealth Dentistry - Mechanicsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073292900
- **Authorized official:** MICHAEL RICCOBENE (CEO)
- **Authorized official phone:** (910) 853-6172

## Contact information

- **Practice address:** 8120 PLEASANT GROVE RD STE 200, MECHANICSVILLE, VA 23116-2343
- **Practice address phone:** (804) 915-1440
- **Mailing address:** PO BOX 749632, ATLANTA, GA 30374-9632
- **Mailing address phone:** (804) 915-1440

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 08/02/2024
