| Dr. Michael J. Riccio | |
|
1 N Main St Ipswich MA 01938-2217 | |
| (978) 356-4127 | |
| (978) 356-7782 |
| Full Name | Dr. Michael J. Riccio |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1 N Main St, Ipswich, Massachusetts |
| Authorized Official Name and Position | Michael James Riccio (PRESIDENT) |
| Authorized Official Contact | 9783564127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael J. Riccio 1 N Main St Ipswich MA 01938-2217 Ph: (978) 356-4127 | Dr. Michael J. Riccio 1 N Main St Ipswich MA 01938-2217 Ph: (978) 356-4127 |
| NPI Number | 1831256262 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831256262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15392 (Massachusetts) | Primary |
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