Individual
DR. JOSHUA RICCIARDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5300 OVERLOOK RD, MOBILE, AL 36618-2331
(251) 342-6672
(251) 342-6703
Mailing address
5300 OVERLOOK RD, MOBILE, AL 36618-2331
(251) 342-6672
(337) 886-6348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6200
LA
1223G0001X
General Practice Dentistry
Primary
6351
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1862002
—
LA
Enumeration date
07/02/2011
Last updated
11/06/2018
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