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LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP
NPI 1639576697
Dentist in Medina, NY

Active since November 19, 2014
610 PARK AVE, MEDINA, NY 14103(585) 798-0100(585) 798-3297 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2022, May 28, 2022 (2 updates tracked since 2022).

About Lockport Dental Group Pc D/b/s Medina Dental Group NPPES

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

LOCKPORT DENTAL GROUP PC D/B/S MEDINA DENTAL GROUP (NPI 1639576697) is a healthcare organization registered as a dentist in Medina, New York and active in the NPI registry since November 2014. The organization lists Jonathan Barry Stockton, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1639576697
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMEDINA DENTAL PLLC
Location Address610 PARK AVEMedina, NY 14103-1022
Mailing Address610 Park AveMedina, NY 14103-1022 · (585) 798-0100 · Fax (585) 798-3297
Phone(585) 798-0100
Fax(585) 798-3297
Organization SubpartNo
Authorized OfficialJonathan Barry StocktonOwner/dentist · (585) 798-0100
Enumeration DateNovember 19, 2014
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1639576697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 32240
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.
610 PARK AVE, Medina, NY 14103
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Other Names 1

Doing Business AsLockport Dental Group Pc D/b/s Medina Dental Group

Other Identifiers 1

Medicaid1497830483NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medina Dental PLLC's NPI number?

The NPI number for Medina Dental PLLC is 1639576697. It was assigned to this organization in the NPPES registry on November 19, 2014. The provider is doing business as Lockport Dental Group PC D/B/S Medina Dental Group.

Where is Medina Dental PLLC located?

Medina Dental PLLC is located at 610 Park Ave, Medina, NY 14103. The listed phone number is (585) 798-0100.

What is Medina Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Medina Dental PLLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.