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124 Walnut St Ste 101 Wilmington NC 28401-4361 | |
| (910) 254-4554 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 Walnut St Ste 101, Wilmington, North Carolina |
| Authorized Official Name and Position | Michael Riccobene (OWNER) |
| Authorized Official Contact | 9198536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 749625 Atlanta GA 30374-9625 Ph: (919) 585-5205 | 124 Walnut St Ste 101 Wilmington NC 28401-4361 Ph: (910) 254-4554 |
| NPI Number | 1902471253 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902471253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Danielle M. Gough, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Gallery Park Boulevard, Wilmington, NC 28412 Phone: 910-218-1222 Fax: 844-266-2407 | |
Richard Alan Reamer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 Medical Center Drive, Suite #101, Wilmington, NC 28401 Phone: 910-762-0355 Fax: 910-342-9211 | |
Picklesimer & Plasky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 College Acres Dr, Wilmington, NC 28403 Phone: 910-799-2238 Fax: 910-392-3414 | |
Douglas L. Fowler, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 N College Rd, Wilmington, NC 28405 Phone: 910-790-3836 Fax: 910-790-5026 | |