Cheryl Ann Brunelle, DDS
Individual provider Active NPI General Practice Dentistry · East Rochester, NY
NPI 1811086358 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811086358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 051057-1 (NY)
- Practice address
- 213 W Commercial St
East Rochester, NY 14445-2153 - Phone
- (585) 586-4674
- Fax
- (585) 385-9072
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002565 | NY | Order and Referring Only - Dentist |
7618279274 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051057-1 | NY | MD | General Practice Dentistry |
| 051057 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheryl a Brunelle DDS PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051057-1 | NY | Yes |
Addresses
Primary practice location
213 W Commercial St
East Rochester, NY 14445-2153
Mailing address
752 Admiralty Way
Webster, NY 14580-3912
Phone (585) 671-6665
Other providers in East Rochester, NY
- Shauna M Bort
- Brandie Saylor
- Amy Brawdy-Carlo
- Diadra Elaine Brogcinski
- Tina Terese Brown-Carter
- Caitlin A Burke
- Miranda Burruano
- Stephen A Campo
- Maria Rosa Capozzolo
- Cardiac Life Products, Inc.
All providers in East Rochester, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.