Healthcare Provider Details
I. General information
NPI: 1487564985
Provider Name (Legal Business Name): VECCHIO & VECCHIO DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1288 ABBE RD N STE C
ELYRIA OH
44035-1679
US
IV. Provider business mailing address
1288 ABBE RD N STE C
ELYRIA OH
44035-1679
US
V. Phone/Fax
- Phone: 440-365-8747
- Fax:
- Phone: 440-365-8747
- Fax: 440-365-5617
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PAUL
R
VECCHIO
Title or Position: OWNER
Credential: DDS
Phone: 440-365-8747