National Provider Identifier

Timothy Francis Brady, D.D.S.

Timothy Francis Brady, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Newark, NY and a listed phone number of (315) 331-4115.

NPI 1417099045Newark, NYGeneral Practice Dentistry

Profile Overview

NPI
1417099045
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
February 12, 2007
Last Updated
January 13, 2009

Practice Location

  • 111 Mason St
  • Newark, NY 14513-1459

Phone: (315) 331-4115

Mailing Address

  • PO Box 738
  • Penfield, NY 14526-0738

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1417099045
Entity Type
Individual
Last Name
Brady
First Name
Timothy
Middle Name
Francis
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
PO Box 738
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-0738
Mailing Country
US
Mailing Phone
(585) 678-4420
Practice Street Address
111 Mason St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1459
Practice Country
US
Practice Phone
(315) 331-4115
Enumeration Date
February 12, 2007
Last Updated
January 13, 2009
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)