Provider Demographics
NPI:1528243755
Name:ROCCIA, WAYNE DONALD (DMD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:DONALD
Last Name:ROCCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9380 MCKNIGHT RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5954
Mailing Address - Country:US
Mailing Address - Phone:412-367-3222
Mailing Address - Fax:
Practice Address - Street 1:9380 MCKNIGHT RD STE 203
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5954
Practice Address - Country:US
Practice Address - Phone:412-367-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363121223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery