National Provider Identifier

Brian Thomas Shaughnessy, D.D.S.

Brian Thomas Shaughnessy, D.D.S. is listed in the NPPES registry with a primary specialty of Endodontics in Victor, NY and a listed phone number of (585) 869-5314.

NPI 1508024787Victor, NYEndodontics

Profile Overview

NPI
1508024787
Provider Type
Individual
Primary Specialty
Endodontics
Enumeration Date
May 24, 2008
Last Updated
March 12, 2018

Practice Location

  • 6532 Anthony Dr Ste C
  • Victor, NY 14564-1403

Phone: (585) 869-5314

Specialties

  • Endodontics (1223E0200X)
  • Dentist (122300000X)
Full Record
NPI
1508024787
Entity Type
Individual
Last Name
Shaughnessy
First Name
Brian
Middle Name
Thomas
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
6532 Anthony Dr Ste C
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-1403
Mailing Country
US
Mailing Phone
(585) 869-5314
Practice Street Address
6532 Anthony Dr Ste C
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1403
Practice Country
US
Practice Phone
(585) 869-5314
Practice Fax
(585) 869-5314
Enumeration Date
May 24, 2008
Last Updated
March 12, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endodontics (1223E0200X), Dentist (122300000X)
Other Identifiers
019770 (MI, Delta Dental), 381908328 (MI, Assurant)