Active NPI
Brighton Dental PLLC
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1194876433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 032039-1
- Legal business name
- BRIGHTON DENTAL PLLC
- Practice address
- 125 White Spruce Blvd
Rochester, NY 14623-1607 - Phone
- (585) 424-5660
- Fax
- (585) 424-1239
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yellappa C Mruthyunjaya, B.D.S., M.P.H.
- Title
- President
- Phone
- (585) 424-5660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 032039-1 | NY | Primary |
Addresses
Primary practice location
125 White Spruce Blvd
Rochester, NY 14623-1607
Mailing address
125 White Spruce Blvd
Rochester, NY 14623-1607
Phone (585) 424-5660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194876433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WHITE SPRUCE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231607",
"telephone_number": "585-424-5660",
"fax_number": "585-424-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WHITE SPRUCE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231607",
"telephone_number": "585-424-5660",
"fax_number": "585-424-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MRUTHYUNJAYA",
"authorized_official_first_name": "YELLAPPA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-424-5660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "B.D.S., M.P.H."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "032039-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- Brighton Breast Imaging Associates, LLC
- Brighton Campus Chiropractors LLC
- Brighton Central School District
- Brighton Chiropractic Office, PLLC
- Brighton Consulting for Occupational & Environmental Medicine, PLLC
- Brighton Family Medicine, LLP
- Brighton Greece Medical Practice, PLLC
- Brighton Internal Medicine PC
- Brighton Medical Office, PLLC
- Brighton Medicine Assoc PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.