Thomas Edwin Boccia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10559 Issued in MA

Practice address

3 Wallace Rd
Sturbridge, MA 01566-1425

Phone

(508) 347-9336

Fax

(508) 347-5072

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Town Dental Associates,LLC

  • General Practice Dentistry
  • Sturbridge, MA
  • NPI 1689114852

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1881665636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015660244",
            "telephone_number": "508-347-9336",
            "fax_number": "508-347-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALLACE RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661425",
            "telephone_number": "508-347-9336",
            "fax_number": "508-347-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCIA",
        "first_name": "THOMAS",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bardo-Barnes
• Elizabeth Prokos Berry, OD
• Rebecca Anne Bianchi, LMHC
• Anne Bisson Ingersoll
• Karen Ann Blakely, RPH
• Sheila Ann Botti, RN CS
• Branches Integrative Wellness, LLC
• Brandis Center, Inc.
• Jason Brewster
• Colleen Briggs

• All providers in Sturbridge, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.