RICCOBENE ASSOCIATES XXVII, DDS, P.A. (NPI# 1790256782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790256782 |
| Entity Type | Organization |
| Organization Name | RICCOBENE ASSOCIATES XXVII, DDS, P.A. |
| Practice Address |
4400 Falls of Neuse Rd Ste 202 Raleigh NC 27609-2507 |
| Practice Telephone | 9198721000 |
| Practice Fax Number | 8664028476 |
| Mailing Telephone | 9198721000 |
| Mailing Fax Number | 8664028476 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | MICHAEL RICCOBENE (OWNER) |
| Authorized Official Telephone | 9195505251 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
4400 FALLS OF NEUSE RD STE 202 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526389 | David C. Slawisnki Dds, Pa | Dentist | 5041 Six Forks Rd Ste 100, Raleigh, NC 27609-4494 | 2012-03-26 |
| 1215026943 | Drs. Pfefferle and Kindrachuk | Dentist | 7800 Six Forks Rd, Raleigh, NC 27615-2980 | 2006-10-12 |
| 1174575799 | Christi Michelle Davis | Dentist | 10411 Moncreiffe Road, Suite 105b, Raleigh, NC 27617-6452 | 2006-05-16 |
| 1306894597 | Parrish Macon Collie & Pretzer Dds Pa | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2006-05-04 |
| 1699743013 | Lareejohnson Dds, Ms, Pllc | Dentist | 2800 Wakefield Drive, Ste 110, Raleigh, NC 27614 | 2006-03-10 |
| 1316915861 | Euphemia Laree Johnson | Dentist | 2800 Wakefield Pines Dr, Ste 110, Raleigh, NC 27614-8998 | 2006-03-10 |
| 1770551558 | Robin Joy Croswell | Dentist | 2880 Wakefield Pines Dr, Ste 110, Raleigh, NC 27614-8998 | 2006-03-09 |
| 1497026058 | Christi M. Davis, Dds, Pa IIi | Dentist | 2406 Blue Ridge Road, Suite 210, Raleigh, NC 27607-6452 | 2012-01-13 |
| 1407149271 | Christi M. Davis, Dds, Pa, II | Dentist | 10411 Moncreiffe Rd, Suite 105b, Raleigh, NC 27617-7819 | 2011-05-26 |
| 1811219488 | Don J Kindrachuk | Dentist | 7800 Six Forks Rd, Raleigh, NC 27615-2980 | 2010-02-23 |
| Find all providers in RALEIGH | ||||
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| 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.