Organization · Type 2 NPI

Riccobene & Associates Ccii, Dds, PC

Periodontics · Suffolk, VA

NPI number 1467226720 Active

Practice location

2003 Meade Pkwy
Suffolk, VA 23434-4259

Call (757) 514-3656 Map

Mailing address

PO Box 749632
Atlanta, GA 30374-9632

Specialties and licenses

Taxonomy	Code	License
Endodontics	1223E0200X	None listed
Periodontics Primary	1223P0300X	None listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

9 other providers at this address

NPI record

NPI: 1467226720
Entity type: Organization (Type 2)
Issued: Nov 8, 2023
Last updated: Aug 2, 2024
Status: Active

Other names

<unavail>
Commonwealth Specialty - Suffolk · doing business as
Commonwealth Specialty - Suffolk · doing business as

Authorized official

Michael Riccobene
CEO
(910) 853-6172

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467226720

Riccobene & Associates Ccii, Dds, PC's National Provider Identifier is 1467226720, issued on Nov 8, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Suffolk, VA. The record was last updated on Aug 2, 2024.