Organization
RICCOBENE & ASSOCIATES CCCI, DDS, PC
Active
Other names
Edgewater Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICCOBENE DDS (CEO)
(910) 853-6172
Entity
Organization
Contact information
Practice address
900 HIGHWAY 17 S STE C, NORTH MYRTLE BEACH, SC 29582-1904
(843) 491-6021
Mailing address
PO BOX 749625, ATLANTA, GA 30374-9625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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