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6950 Nexus Ct Fayetteville NC 28304-2642 | |
(910) 864-2400 | |
(910) 864-3016 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6950 Nexus Ct, Fayetteville, North Carolina |
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 |
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Po Box 749625 Atlanta GA 30374-9625 Ph: (919) 585-5205 | 6950 Nexus Ct Fayetteville NC 28304-2642 Ph: (910) 864-2400 |
NPI Number | 1881165876 |
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Provider Enumeration Date | 12/17/2018 |
Last Update Date | 10/19/2023 |
Identifier | Type | State | Issuer |
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1881165876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |