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Dr. Charles M Brenner, DMD
Pediatric Dentist in Rochester, New York
NPI 1174667794

Charles M Brenner is a Pediatric Dentist based in Rochester, NY and is specialized in Pediatric Dentistry. Charles M Brenner practices in Rochester, NY and has the professional credentials of DMD. The NPI Number for Charles M Brenner is 1174667794 and holds a License No. 030573 (New York).

The current practice location address for Charles M Brenner is 1875 Hudson Ave, Rochester, NY and can be reached out via phone at 585-266-9220.

Location: 1875 Hudson Ave, Rochester, NY, 14617-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174667794
Provider Name
Charles M Brenner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1875 Hudson Ave, Rochester, NY, 14617-5107
Phone Number
585-266-9220
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00457410 05 NY
70249 01 NY BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1875 Hudson Ave
City
Rochester
State
New York
Zip
14617-5107
Phone Number
585-266-9220
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Hudson Ave
City
Rochester
State
New York
Zip
14617-5107
Phone Number
585-266-9220
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
030573 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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