RICCOBENE & ASSOCIATES XXXVI, DDS, P.A.
NPI 1962044560
Dentist - General Practice in Wilmington, NC

Active since October 15, 2019
2250 SHIPYARD BLVD STE 14, WILMINGTON, NC 28403(910) 392-9101 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2021, Oct 15, 2019 (2 updates tracked since 2019).

About Riccobene & Associates Xxxvi, Dds, P.a. NPPES

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

RICCOBENE & ASSOCIATES XXXVI, DDS, P.A. (NPI 1962044560) is a healthcare organization registered as a general practice in Wilmington, North Carolina and active in the NPI registry since October 2019. The organization lists Sade Renee Keith, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1962044560
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRICCOBENE & ASSOCIATES XXXVI, DDS, P.A.
Location Address2250 SHIPYARD BLVD STE 14Wilmington, NC 28403-8070
Mailing Address2250 Shipyard Blvd Ste 14Wilmington, NC 28403-8070 · (910) 392-9101
Organization SubpartNo
Authorized OfficialSade Renee KeithCredentialing Specialist · (919) 238-6833
Enumeration DateOctober 15, 2019
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1962044560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2250 SHIPYARD BLVD STE 14, Wilmington, NC 28403

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2250 SHIPYARD BLVD STE 14
WILMINGTON, NC 28403
Physical Medicine & Rehabilitation
2250 SHIPYARD BLVD STE 14
WILMINGTON, NC 28403
Occupational Therapist
2250 SHIPYARD BLVD STE 14
WILMINGTON, NC 28403
Physical Therapist
2250 SHIPYARD BLVD STE 14
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962044560, enumerated as an "organization" on October 15, 2019.

The provider is located at 2250 SHIPYARD BLVD STE 14 WILMINGTON, NC 28403 and the phone number is (910) 392-9101.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.