Provider Demographics
NPI:1689795650
Name:BRIAN K SAWCHUK DDS AND TONY J. D'OCCHIO DMD,LLC
Entity Type:Organization
Organization Name:BRIAN K SAWCHUK DDS AND TONY J. D'OCCHIO DMD,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:D'OCCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-245-3013
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:203-245-4920
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:203-245-4920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty