RICCOBENE & ASSOCIATES XXXVI, DDS, P.A.


Address: 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070
Phone: 9103929101

RICCOBENE & ASSOCIATES XXXVI, DDS, P.A. (NPI# 1962044560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962044560
Entity Type Organization
Organization Name RICCOBENE & ASSOCIATES XXXVI, DDS, P.A.
Practice Address 2250 Shipyard Blvd Ste 14
Wilmington
NC 28403-8070
Practice Telephone 9103929101
Mailing Telephone 9103929101
Enumeration Date 2019-10-15
Last Update Date 2019-10-15
Authorized Official Name MICHAEL RICCOBENE (CEO)
Authorized Official Telephone 9194393331
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0300X Dentist
Specialization: Periodontics
Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 122300000X Dentist Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 2250 SHIPYARD BLVD STE 14
City WILMINGTON
State NC
Zip Code 28403-8070

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1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
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1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
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1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013529437 Nicholas Peter Griggs Dentist 7150 Market St Ste 130, Wilmington, NC 28411-9888 2020-08-18
1851930986 L.brett Wells Dds IIi Pllc Dentist 124 Walnut St Ste 101, Wilmington, NC 28401-4361 2020-01-07
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1497312649 Christian G Cook Dentist 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 2019-05-23
1417424649 Lindell Plaza Dental LLC Dentist 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 2018-10-25
1699128868 Lauren Elizabeth Marechal Dentist 5000 Market St, Wilmington, NC 28405-3430 2016-07-22
1982051546 Safia Naik-azizi Dmd & Associates Pa Dentist 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 2016-05-24
1508213323 Daniel Joseph Duffy Jr. Dentist 2520 Delaney Ave, Wilmington, NC 28403-6002 2016-05-22
1326468513 Edward Blake Bayley Dentist 1610 Sunset Ln, Wilmington, DE 19810-4149 2014-04-26
1255751616 Eric and Casey Burns Dds Pa Dentist 4914 Randall Pkwy, Wilmington, NC 28403-2879 2014-04-23
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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