MEADOWGATE FAMILY DENTAL
NPI 1659721025
Dentist - General Practice in Pittsford, NY

Active since June 16, 2016
101 SULLYS TRL, BUILDING 10, SUITE 11, PITTSFORD, NY 14534(585) 586-8895 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadowgate Family Dental NPPES

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

MEADOWGATE FAMILY DENTAL (NPI 1659721025) is a healthcare organization registered as a general practice in Pittsford, New York and active in the NPI registry since June 2016. The organization lists Jack M Dorkhom, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1659721025
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACK M. DORKHOM, DMD, PLLC
Location Address101 SULLYS TRL, BUILDING 10, SUITE 11Pittsford, NY 14534-4552
Mailing Address101 Sullys Trl, Building 10, Suite 11Pittsford, NY 14534-4552 · (585) 586-8895
Organization SubpartNo
Authorized OfficialJack M DorkhomMember/owner · (585) 586-8895
Enumeration DateJune 16, 2016
NPI 1659721025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 051194
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
101 SULLYS TRL, Pittsford, NY 14534

Other Names 1

Doing Business AsMeadowgate Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
101 SULLYS TRL, B U I L D I N G 20
PITTSFORD, NY 14534
Physical Therapist
101 SULLYS TRL, BUILDING 20
PITTSFORD, NY 14534
Dentist (General Practice)
101 SULLYS TRL, BUILDING 10
PITTSFORD, NY 14534
Psychiatry & Neurology (Neurology)
101 SULLYS TRL
PITTSFORD, NY 14534
Psychiatry & Neurology (Neurology)
101 SULLYS TRL, BLDG 20
PITTSFORD, NY 14534
Clinic/Center (Rehabilitation)
101 SULLYS TRL, BLDG 20, SUITE 9
PITTSFORD, NY 14534
Social Worker (Clinical)
101 SULLYS TRL, MEADOWGATE BLDG. 10
PITTSFORD, NY 14534
Physical Therapist
101 SULLYS TRL, BLDG 20, SUITE 9
PITTSFORD, NY 14534

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 M. Dorkhom, Dmd, PLLC's NPI number?

The NPI number for Jack M. Dorkhom, Dmd, PLLC is 1659721025. It was assigned to this organization in the NPPES registry on June 16, 2016. The provider is doing business as Meadowgate Family Dental.

Where is Jack M. Dorkhom, Dmd, PLLC located?

Jack M. Dorkhom, Dmd, PLLC is located at 101 Sullys Trl Building 10, Suite 11, Pittsford, NY 14534. The listed phone number is (585) 586-8895.

What is Jack M. Dorkhom, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack M. Dorkhom, Dmd, PLLC was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.