Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brockport Dental Pllc

General Practice Dentistry in Brockport, NY · enumerated 2022 · authorized official Alexis Ghanem Ayoubi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114658614

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Registry record

Entity type Organization (Type 2)

Legal business name Brockport Dental Pllc

Practice address 1000 Transit Way # 200, Brockport, NY, 14420

Phone (585) 957-0981

Enumeration date Jun 23, 2022

Last updated in NPPES Jun 23, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Alexis Ghanem Ayoubi

Title President

Phone (585) 503-0713

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Brockport Dental Pllc located?

The practice location on file with NPPES is in Brockport, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-23.