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An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Pathology |
1223P0106X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1790256782 |
| LBN Legal business name | RICCOBENE ASSOCIATES XXVII, DDS, P.A. |
| Authorized official | MICHAEL RICCOBENE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/17/2018 |
| Last updated | 12/31/2019 - About 6 years ago |
| Identifiers | n/a |
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RICCOBENE ASSOCIATES XXVII, DDS, P.A.