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

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

## Provider details

- **NPI number:** 1215646500
- **Authorized official:** MICHAEL RICCOBENE (OWNER)
- **Authorized official phone:** (855) 417-4226

## Contact information

- **Practice address:** 8320 UNIVERSITY EXEC PARK DR STE A, CHARLOTTE, NC 28262-1338
- **Practice address phone:** (704) 248-8327
- **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:** 11/16/2022
- **Last updated:** 12/05/2023