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

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

## Provider details

- **NPI number:** 1386158475
- **Authorized official:** MICHAEL RICCOBENE DDS (CEO)
- **Authorized official phone:** (919) 439-3331

## Contact information

- **Practice address:** 4168 CLEMMONS RD, CLEMMONS, NC 27012-7520
- **Practice address phone:** (919) 439-3331
- **Practice address fax:** (833) 668-7227
- **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:** 11/28/2017
- **Last updated:** 10/19/2023