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Riccardi General Dentistry, LLC

Dentist in Americus, GA. Organization (NPI-2).

NPI number1295567006
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1295567006
Entity type
Organization (NPI-2)
Legal business name
Riccardi General Dentistry, LLC
Organization subpart
No
Enumeration date
Aug 19, 2024
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes
261QD0000X Clinic/Center, Dental––

Practice location

204 Hudson St Ste B
Americus, GA 31709-3339

Phone 229-924-2224

Mailing address

Po Box 336
Americus, GA 31709-0336

Phone 229-924-2224

Authorized official

Nancy A Riccardi
Sole Proprietor
2299242224

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