Dr. Jesse Eric Ricciuti
Oral and Maxillofacial Surgeon
10042 Park Cedar Dr Ste B
Charlotte
, North Carolina 28210
Dr. Jesse Eric Ricciuti
Oral and Maxillofacial Surgeon
10042 Park Cedar Dr Ste B
Charlotte
, North Carolina 28210
(704) 542-9651
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jesse Eric Ricciuti
- 10042 Park Cedar Dr Ste B
- Charlotte, NC
- Zip : 28210-8917
- Fax : (704) 542-9651
- Phone : (704) 542-9600
Second Address
- Dr. Jesse Eric Ricciuti
- 10042 Park Cedar Dr Ste B
- Charlotte, NC
- Zip : 28210
- Fax : (704) 542-9651
- Phone : (704) 542-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 11566 | NC |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 9450 | SC |
National Provider Identifier
| NPI | 1003296831 |
|---|---|
| Provider Name | Dr. Jesse Eric Ricciuti |
| First Address | Charlotte, NC 28210-8917 |
| Second Address | Charlotte, NC 28210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2015 |
| Last Update Date | 03/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.