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

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

## Provider details

- **NPI number:** 1538701123
- **Authorized official:** MICHAEL RICCOBENE (OWNER)
- **Authorized official phone:** (910) 853-6172

## Contact information

- **Practice address:** 6132 CAROLINA BEACH RD STE 6, WILMINGTON, NC 28412-2759
- **Practice address phone:** (910) 392-9101
- **Practice address fax:** (910) 392-9041
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625
- **Mailing address phone:** (919) 585-5205

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2019
- **Last updated:** 10/19/2023