OrganizationActive
Brockport Dental PLLC
NPI 1114658614 · General Practice Dentistry · Brockport, NY
Brockport Dental PLLC is a General Practice Dentistry organization in Brockport, NY (NPI 1114658614).
Provider details
- NPI number
- 1114658614
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alexis Ghanem Ayoubi, President(585) 503-0713
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Transit Way # 200
Brockport, NY 14420-3008
Phone: (585) 957-0981
Street-level locationGet directions
Mailing address
9 Waterbury Ln
Rochester, NY 14625-1361
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Frequently asked questions
- What is Brockport Dental PLLC's NPI number?
- Brockport Dental PLLC's National Provider Identifier (NPI) is 1114658614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brockport Dental PLLC?
- Brockport Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Brockport Dental PLLC located?
- Brockport Dental PLLC's practice location on file with NPPES is 1000 Transit Way # 200, Brockport, NY 14420-3008.
- What is Brockport Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Brockport Dental PLLC is (585) 957-0981.
- Who is the authorized official for Brockport Dental PLLC?
- The authorized official listed on Brockport Dental PLLC's NPPES record is Alexis Ghanem Ayoubi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brockport Dental PLLC's NPI active?
- Yes — Brockport Dental PLLC's NPI (1114658614) is active in the NPPES registry as of the last update on 2022-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.