Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brockport Dental PLLC

Organization General Practice Dentistry · NPI 1114658614

Brockport Dental PLLC is a General Practice Dentistry in Brockport, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Transit Way # 200
Brockport, NY 14420-3008
Phone: (585) 957-0981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114658614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Ghanem Ayoubi — President · (585) 503-0713
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address9 Waterbury Ln, Rochester, NY 14625-1361

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