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

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

## Provider details

- **NPI number:** 1538978531
- **Authorized official:** MICHAEL RICCOBENE (CEO)
- **Authorized official phone:** (910) 853-6172

## Contact information

- **Practice address:** 6316 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6953
- **Practice address phone:** (980) 265-3180
- **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:** 01/03/2025
- **Last updated:** 01/03/2025