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

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104383868
- **Authorized official:** MICHAEL RICCOBENE DDS (OWNER)
- **Authorized official phone:** (919) 439-3331

## Contact information

- **Practice address:** 3416 MELROSE RD, FAYETTEVILLE, NC 28304-1610
- **Practice address phone:** (910) 853-6201
- **Mailing address:** 3416 MELROSE RD, FAYETTEVILLE, NC 28304-1610
- **Mailing address phone:** (910) 853-6201

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/28/2019