| Brockport Dental Pllc | |
|
1000 Transit Way # 200 Brockport NY 14420-3008 | |
| (585) 957-0981 | |
| Not Available |
| Full Name | Brockport Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 Transit Way # 200, Brockport, New York |
| Authorized Official Name and Position | Alexis Ghanem Ayoubi (PRESIDENT) |
| Authorized Official Contact | 5855030713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockport Dental Pllc 9 Waterbury Ln Rochester NY 14625-1361 Ph: (585) 503-0713 | Brockport Dental Pllc 1000 Transit Way # 200 Brockport NY 14420-3008 Ph: (585) 957-0981 |
| NPI Number | 1114658614 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114658614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Weinstein Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 West Ave, Brockport, NY 14420 Phone: 585-637-4330 Fax: 585-637-4858 | |
Frederick Clasquin Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Market St, Brockport, NY 14420 Phone: 585-637-4430 Fax: 585-637-4603 | |
Thomas Maxwell Thaney D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 N Main St, Brockport, NY 14420 Phone: 585-637-6884 Fax: 585-637-7087 | |
Bateman Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 East Ave, Brockport, NY 14420 Phone: 585-637-4474 Fax: 585-637-9213 |