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PATTY,LYBRAND & RICCIUTTI DDS PA
NPI 1861534950
Dentist - Oral and Maxillofacial Surgery in Charlotte, NC

Active since February 13, 2007
10801 WOODLAND BEAVER RD STE 103, CHARLOTTE, NC 28215(704) 291-7333 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patty,lybrand & Ricciutti Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATTY,LYBRAND & RICCIUTTI DDS PA (NPI 1861534950) is a healthcare organization registered as an oral and maxillofacial surgery in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Monroe and lists Susan Griffin, Authorized Official / Office Manage, as its authorized official.

NPPES Registry Identity

NPI1861534950
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePATTY,LYBRAND & RICCIUTTI DDS PA
Location Address10801 WOODLAND BEAVER RD STE 103Charlotte, NC 28215-5177
Mailing Address1851 Wellness BlvdMonroe, NC 28110-7774 · (704) 291-7333 · Fax (704) 292-1203
Phone(704) 291-7333
Organization SubpartNo
Authorized OfficialSusan GriffinAuthorized Official / Office Manage · (704) 291-7333
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1861534950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 5322
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10801 WOODLAND BEAVER RD STE 103, Charlotte, NC 28215
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Secondary Practice Location 1

Location 11851 Wellness BlvdMonroe, NC 28110-7774 · Phone (704) 291-7333 · Fax (704) 292-1203

Other Identifiers 5

MedicaidZN5322SC
Other328400CO · Trigon Bcbs Ins
Other96674NC · Blue Cross Blue Shield Nc
Other583212PA · United Concordia Ins
Medicaid8996674NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patty,lybrand & Ricciutti Dds PA's NPI number?

The NPI number for Patty,lybrand & Ricciutti Dds PA is 1861534950. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Patty,lybrand & Ricciutti Dds PA located?

Patty,lybrand & Ricciutti Dds PA is located at 10801 Woodland Beaver Rd Ste 103, Charlotte, NC 28215. The listed phone number is (704) 291-7333.

What is Patty,lybrand & Ricciutti Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Patty,lybrand & Ricciutti Dds PA was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.