| Airlie Oral Surgery | |
|
2001 S Baxter Dr Leland NC 28451-0139 | |
| (910) 769-1605 | |
| Not Available |
| Full Name | Airlie Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2001 S Baxter Dr, Leland, North Carolina |
| Authorized Official Name and Position | Michael Riccobene (OWNER) |
| Authorized Official Contact | 9195855205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airlie Oral Surgery 2001 S Baxter Dr Leland NC 28451-0139 Ph: () - | Airlie Oral Surgery 2001 S Baxter Dr Leland NC 28451-0139 Ph: (910) 769-1605 |
| NPI Number | 1336898675 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336898675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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