Provider Demographics
NPI:1093887457
Name:IOCCO, ROCCO ANTHONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:ANTHONY
Last Name:IOCCO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SALEM ST
Mailing Address - Street 2:BLDG 1
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940
Mailing Address - Country:US
Mailing Address - Phone:781-245-7986
Mailing Address - Fax:781-245-6901
Practice Address - Street 1:40 SALEM ST
Practice Address - Street 2:BLDG 1
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940
Practice Address - Country:US
Practice Address - Phone:781-245-7986
Practice Address - Fax:781-245-6901
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice