Provider Demographics
NPI:1093947327
Name:D'OCCHIO, TONY JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:JOSEPH
Last Name:D'OCCHIO
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 1:25 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2631
Mailing Address - Country:US
Mailing Address - Phone:203-245-3013
Mailing Address - Fax:
Practice Address - Street 1:25 DURHAM RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2631
Practice Address - Country:US
Practice Address - Phone:203-245-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0110781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice