1. Home
  2. Directory
  3. South Carolina
  4. North Myrtle Beach
  5. Dentist
  6. NPI Profile

RICCOBENE & ASSOCIATES CCCI, DDS, PC
NPI 1891625265
Dentist - Oral and Maxillofacial Surgery in North Myrtle Beach, SC

Active since May 19, 2026
900 HIGHWAY 17 S STE C, NORTH MYRTLE BEACH, SC 29582(843) 491-6021 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riccobene & Associates Ccci, Dds, Pc NPPES

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

RICCOBENE & ASSOCIATES CCCI, DDS, PC (NPI 1891625265), doing business as Edgewater Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in North Myrtle Beach, South Carolina and active in the NPI registry since May 2026. The organization lists Michael Riccobene, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891625265
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRICCOBENE & ASSOCIATES CCCI, DDS, PC
Location Address900 HIGHWAY 17 S STE CNorth Myrtle Beach, SC 29582-1904
Mailing AddressPo Box 749625Atlanta, GA 30374-9625
Phone(843) 491-6021
Organization SubpartNo
Authorized OfficialMichael RiccobeneCeo · (910) 853-6172
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1891625265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
900 HIGHWAY 17 S STE C, North Myrtle Beach, SC 29582
Open in Google Maps ↗

Other Names 1

Doing Business AsEdgewater Oral And Maxillofacial Surgery

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 Riccobene & Associates Ccci, Dds, PC's NPI number?

The NPI number for Riccobene & Associates Ccci, Dds, PC is 1891625265. It was assigned to this organization in the NPPES registry on May 19, 2026. The provider is doing business as Edgewater Oral and Maxillofacial Surgery.

Where is Riccobene & Associates Ccci, Dds, PC located?

Riccobene & Associates Ccci, Dds, PC is located at 900 Highway 17 S Ste C, North Myrtle Beach, SC 29582. The listed phone number is (843) 491-6021.

What is Riccobene & Associates Ccci, Dds, PC'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 Riccobene & Associates Ccci, Dds, PC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.