National Provider Identifier
Charles M Brenner, D.M.D.
Charles M Brenner, D.M.D. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 266-9220.
Profile Overview
- NPI
- 1174667794
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- February 16, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1875 Hudson Ave
- Rochester, NY 14617-5107
Phone: (585) 266-9220
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1174667794
- Entity Type
- Individual
- Last Name
- Brenner
- First Name
- Charles
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 1875 Hudson Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5107
- Mailing Country
- US
- Mailing Phone
- (585) 266-9220
- Practice Street Address
- 1875 Hudson Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-5107
- Practice Country
- US
- Practice Phone
- (585) 266-9220
- Enumeration Date
- February 16, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)
- Other Identifiers
- 00457410 (NY), 70249 (NY, Blue Cross)