Dr. Brian Thomas Shaughnessy, D.D.S.
Dentist, Endodontics in Victor, NY. Individual provider (NPI-1).
NPI number1508024787
StatusActive
Last updated in NPPESMar 12, 2018
Details
- NPI
- 1508024787
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Thomas Shaughnessy
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2008
- Last updated
- Mar 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 056944 | NY | Yes |
| 122300000X | Dentist | 2901019770 | MI |
Practice location
6532 Anthony Dr Ste CVictor, NY 14564-1403
Phone 585-869-5314 · Fax 585-869-5314
Mailing address
6532 Anthony Dr Ste CVictor, NY 14564-1403
Phone 585-869-5314
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