DR. BRIAN THOMAS SHAUGHNESSY D.D.S. NPI 1508024787

NPI Information

NPI: 1508024787
Provider Name: DR. BRIAN THOMAS SHAUGHNESSY, D.D.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

PECOS Registration: Yes

Address:
6532 ANTHONY DR STE C
VICTOR, NY
ZIP 14564
Phone: (585) 869-5314
Get Directions

DR. Brian Thomas Shaughnessy, D.D.S. is an endodontics dentist in Victor, NY. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Brian Thomas Shaughnessy, D.D.S. NPI is 1508024787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6532 ANTHONY DR STE C
VICTOR, NY
ZIP 14564-403
Phone: (585) 869-5314
Fax: (585) 869-5314

The NPI 1508024787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/24/2008 and was last updated on 3/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		2901019770	MICHIGAN	No
2	1223E0200X	Dentist	Endodontics	056944	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019770	OTHER	MICHIGAN	DELTA DENTAL
2	381908328	OTHER	MICHIGAN	ASSURANT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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