Provider Demographics
NPI:1477624567
Name:OCCHIONERO, RONALD LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:OCCHIONERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5241 WILSON MILLS RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:440-473-0267
Mailing Address - Fax:440-473-1390
Practice Address - Street 1:5241 WILSON MILLS RD
Practice Address - Street 2:SUITE 22
Practice Address - City:RICHMOND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-473-0267
Practice Address - Fax:440-473-1390
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300118751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice