Provider Demographics
NPI:1952299141
Name:RACHAEL M COCCHIA DMD LLC
Entity type:Organization
Organization Name:RACHAEL M COCCHIA DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:COCCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-775-4565
Mailing Address - Street 1:160 SUMMIT AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1763
Mailing Address - Country:US
Mailing Address - Phone:201-775-4565
Mailing Address - Fax:
Practice Address - Street 1:160 SUMMIT AVE STE 101
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1763
Practice Address - Country:US
Practice Address - Phone:201-775-4565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty