# RICCOBENE & ASSOCIATES CCCI, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brush and Floss North Myrtle Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205615341
- **Authorized official:** MICHAEL RICCOBENE (CEO)
- **Authorized official phone:** (855) 417-4226

## Contact information

- **Practice address:** 900 HIGHWAY 17 N STE E, NORTH MYRTLE BEACH, SC 29582-2804
- **Practice address phone:** (843) 491-6021
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625
- **Mailing address phone:** (910) 853-6172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 11/29/2023