# RICCOBENE & ASSOCIATES CCC, DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Riccobene & Associates Family Dentistry - Fort Mill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619750494
- **Authorized official:** MICHAEL RICCOBENE (OWNER)
- **Authorized official phone:** (855) 417-4226

## Contact information

- **Practice address:** 360 FORT MILL PARKWAY STE 101, FORT MILL, SC 29715
- **Practice address phone:** (843) 491-6021
- **Practice address fax:** (839) 895-3753
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625
- **Mailing address fax:** (839) 895-3753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 11/29/2023