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DR. JACK MICHAEL DORKHOM D.M.D.
NPI 1184831109
Dentist in Pittsford, NY

Active since May 17, 2007
101 SULLY'S TRL, BUILDING 10, PITTSFORD, NY 14534(585) 586-8895(585) 485-0817 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Michael Dorkhom D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK MICHAEL DORKHOM D.M.D. (NPI 1184831109) is an individual dentist in Pittsford, New York, licensed in New York (051194) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1184831109
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK MICHAEL DORKHOMCredential: D.M.D.
Location Address101 SULLY'S TRL, BUILDING 10Pittsford, NY 14534
Mailing Address69a Monroe AvePittsford, NY 14534-1321 · (585) 586-2580 · Fax (585) 586-4924
Phone(585) 586-8895
Fax(585) 485-0817
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1184831109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 051194
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
101 SULLY'S TRL, Pittsford, NY 14534
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Dorkhom's NPI number?

The NPI number for Jack Dorkhom is 1184831109. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Jack Dorkhom located?

Jack Dorkhom practices at 101 Sully's Trl Building 10, Pittsford, NY 14534. The listed phone number is (585) 586-8895.

What is Jack Dorkhom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jack Dorkhom accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Dorkhom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Dorkhom was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.