| Ricco Dental Group | |
|
89 Grand Ave Massapequa NY 11758-4905 | |
| (516) 798-0223 | |
| (516) 798-1970 |
| Full Name | Ricco Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 89 Grand Ave, Massapequa, New York |
| Authorized Official Name and Position | Catherine Creedon (OFFICE MANAGER) |
| Authorized Official Contact | 5167980223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricco Dental Group 89 Grand Ave Massapequa NY 11758-4905 Ph: (516) 798-0223 | Ricco Dental Group 89 Grand Ave Massapequa NY 11758-4905 Ph: (516) 798-0223 |
| NPI Number | 1306623939 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306623939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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