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

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

## Provider details

- **NPI number:** 1194801852
- **Authorized official:** MICHAEL RICCOBENE (CEO)
- **Authorized official phone:** (855) 417-4226

## Contact information

- **Practice address:** 31 OLEANDER DRIVE, CLAYTON, NC 27527
- **Practice address phone:** (919) 550-5251
- **Practice address fax:** (888) 981-3708
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625
- **Mailing address phone:** (919) 550-5251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6718 | NC | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 10/19/2023