| Patty,lybrand & Ricciutti Dds Pa | |
|
10801 Woodland Beaver Rd Ste 103 Charlotte NC 28215-5177 | |
| (704) 291-7333 | |
| Not Available |
| Full Name | Patty,lybrand & Ricciutti Dds Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10801 Woodland Beaver Rd Ste 103, Charlotte, North Carolina |
| Authorized Official Name and Position | Susan Griffin (AUTHORIZED OFFICIAL / OFFICE MANAGE) |
| Authorized Official Contact | 7042917333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patty,lybrand & Ricciutti Dds Pa 1851 Wellness Blvd Monroe NC 28110-7774 Ph: (704) 291-7333 | Patty,lybrand & Ricciutti Dds Pa 10801 Woodland Beaver Rd Ste 103 Charlotte NC 28215-5177 Ph: (704) 291-7333 |
| NPI Number | 1861534950 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861534950 | NPI | - | NPPES |
| ZN5322 | Medicaid | SC | |
| 328400 | Other | CO | TRIGON BCBS INS |
| 96674 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 583212 | Other | PA | UNITED CONCORDIA INS |
| 8996674 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5322 (North Carolina) | Primary |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
Southend Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 South Blvd, Suite 110, Charlotte, NC 28203 Phone: 704-335-8266 Fax: 704-335-8267 | |
Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |