Individual
DR. STEVEN J SACCOCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
(401) 946-1060
Mailing address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
(401) 946-1060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI2432
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7002480
MEDICAL ASSISTANCE
RI
Enumeration date
12/04/2006
Last updated
07/08/2007
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