| Commonwealth Dentistry - Palmyra | |
|
40 Joshua Ln Palmyra VA 22963-6208 | |
| (434) 589-5327 | |
| Not Available |
| Full Name | Commonwealth Dentistry - Palmyra |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40 Joshua Ln, Palmyra, Virginia |
| Authorized Official Name and Position | Michael Riccobene (OWNER) |
| Authorized Official Contact | 9108536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dentistry - Palmyra Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 585-5205 | Commonwealth Dentistry - Palmyra 40 Joshua Ln Palmyra VA 22963-6208 Ph: (434) 589-5327 |
| NPI Number | 1326701764 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326701764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Riccobene & Associates Cc, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Heritage Dr Ste 5, Palmyra, VA 22963 Phone: 434-443-5722 |