Organization
RICCOBENE & ASSOCIATES XIII, DDS, P.A.
Active
Other names
Brush and Floss Specialty-Raeford
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE (OWNER)
(855) 417-4226
Entity
Organization
Contact information
Practice address
6950 NEXUS CT, FAYETTEVILLE, NC 28304-2642
(910) 864-2400
(910) 864-3016
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
(910) 864-2400
(910) 864-3016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/02/2020
Last updated
02/12/2025
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