Individual
DR. BRIAN THOMAS SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6532 ANTHONY DR STE C, VICTOR, NY 14564-1403
(585) 869-5314
(585) 869-5314
Mailing address
6532 ANTHONY DR STE C, VICTOR, NY 14564-1403
(585) 869-5314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019770
MI
1223E0200X
Endodontics
Primary
056944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019770
DELTA DENTAL
MI
01
—
381908328
ASSURANT
MI
Enumeration date
05/24/2008
Last updated
03/12/2018
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