Individual
DR. JESSE ERIC RICCIUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1851 WELLNESS BLVD, MONROE, NC 28110-7774
(704) 291-7333
(704) 292-1203
Mailing address
1851 WELLNESS BLVD, MONROE, NC 28110-7774
(704) 291-7333
(704) 292-1203
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11566
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9450
SC
Other
Enumeration date
06/07/2015
Last updated
11/22/2023
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