Brookside Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0400251 Issued in NY

Legal business name

BROOKSIDE DENTAL LLC

Practice address

9736 Transit Rd
Suite B
East Amherst, NY 14051-1311

Phone

(716) 688-0091

NPI assigned

Feb 27, 2013

Last updated

Feb 27, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christine Guardino, DMDNPI 1598828402

Title

Owner

Phone

(716) 688-0091

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Guardino, DMD

  • General Practice Dentistry
  • East Amherst, NY
  • NPI 1598828402
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1043550098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 TRANSIT RD",
            "address_2": "SUITE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511311",
            "telephone_number": "716-688-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9736 TRANSIT RD",
            "address_2": "SUITE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511311",
            "telephone_number": "716-688-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "GUARDINO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-688-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0400251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Blaszak
• Leah F Blum, MA, CCC/SLP
• John J Bodkin II, M.D.
• Justin Bonetto, PHARMD.
• Adam Jay Booth, PHD
• Marcie Ann Brown, M.A., CCC-SLP/L
• Ann M Bruscia
• Brianna E Bucello, RN
• Lola F Buckley, PT
• Buffalo Breathe Now Medical PC

• General Practice Dentistry in East Amherst, NY
• Providers in East Amherst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.