Provider Demographics
NPI:1841344900
Name:RICHARD DEL BOCCIO DMD PA
Entity type:Organization
Organization Name:RICHARD DEL BOCCIO DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL BOCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-594-0123
Mailing Address - Street 1:3467 PINE RIDGE ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-594-0123
Mailing Address - Fax:239-594-2600
Practice Address - Street 1:3467 PINE RIDGE ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-594-0123
Practice Address - Fax:239-594-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty