Healthcare Provider Details

I. General information

NPI: 1316872211
Provider Name (Legal Business Name): ROCHESTER IMPLANTOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4188 LAKEVILLE RD
GENESEO NY
14454-1134
US

IV. Provider business mailing address

5607 PALMYRA RD UNIT 1003
PITTSFORD NY
14534-7049
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-5588
  • Fax:
Mailing address:
  • Phone: 585-509-4903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN BRODINE
Title or Position: OWNER DOCTOR
Credential: DDS
Phone: 585-509-4903