MEDICARE: DR. JESSICA BEATRIZ RICCOBONO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	35873	TX
2	1223E0200X	Endodontics	DN24549	FL

General Provider Information

NPI Number	:	1073152146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA BEATRIZ RICCOBONO DMD

Provider Business Mailing Address
First Line	:	2465 POINCIANA DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1414
Country	:	US
Telephone Number	:	954-681-2298
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 N MIAMI BEACH BLVD
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3701
Country	:	US
Telephone Number	:	954-681-2298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	10/18/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1720725971 — DR. KAMYAR ALIZADEGAN DMD
Practice Location Address:

880 N MIAMI BEACH BLVD
NORTH MIAMI BEACH, FL
33162-3701

Practice Phone: 305-907-2186
Practice Fax:

1093554420 — DR. ESTEFANY MONTANA
Practice Location Address:

880 N MIAMI BEACH BLVD
NORTH MIAMI BEACH, FL
33162-3701

Practice Phone: 305-907-2186
Practice Fax:

1598822025 — ROSMAN MEDICAL CLINIC PA
Practice Location Address:

890 N MIAMI BEACH BOULEVARD
N MIAMI BEACH, FL
33162-3701

Practice Phone: 305-945-1545
Practice Fax: 305-949-8200

1700740198 — DESSOURCES THERAPEUTIC TOUCH INC
Practice Location Address:

365 NW 129TH ST
NORTH MIAMI, FL
33168-3701

Practice Phone: 786-227-0614
Practice Fax:

1770896383 — SABINE DESSOURCES LMT
Practice Location Address:

365 NW 129TH ST
NORTH MIAMI, FL
33168-3701

Practice Phone: 305-685-8439
Practice Fax:

Directions to “ DR. JESSICA BEATRIZ RICCOBONO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.