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

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

## Provider details

- **NPI number:** 1669328258
- **Authorized official:** MICHAEL RICCOBENE (CEO)
- **Authorized official phone:** (910) 853-6172

## Contact information

- **Practice address:** 5021 SOUTHPORT CROSSINGS WAY STE 310, SOUTHPORT, NC 28461
- **Practice address phone:** (910) 375-9579
- **Mailing address:** PO BOX 749625, ATLANTA, GA 30374-9625
- **Mailing address phone:** (910) 375-9579

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/06/2026