OrganizationActive
Medina Dental PLLC
NPI 1639576697 · Dentist · Medina, NY
Medina Dental PLLC is a Dentist organization in Medina, NY (NPI 1639576697).
Provider details
- NPI number
- 1639576697
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Stockton, Owner/Dentist(585) 798-0100
- License
- 32240 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
610 Park Ave
Medina, NY 14103-1022
Phone: (585) 798-0100
Fax: (585) 798-3297
Street-level locationGet directions
Mailing address
610 Park Ave
Medina, NY 14103-1022
Other names (DBA / former)
- Doing business as
- Lockport Dental Group PC D/B/S Medina Dental Group
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Frequently asked questions
- What is Medina Dental PLLC's NPI number?
- Medina Dental PLLC's National Provider Identifier (NPI) is 1639576697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medina Dental PLLC?
- Medina Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Medina Dental PLLC located?
- Medina Dental PLLC's practice location on file with NPPES is 610 Park Ave, Medina, NY 14103-1022.
- What is Medina Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Medina Dental PLLC is (585) 798-0100.
- Who is the authorized official for Medina Dental PLLC?
- The authorized official listed on Medina Dental PLLC's NPPES record is Jonathan Stockton, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medina Dental PLLC's NPI active?
- Yes — Medina Dental PLLC's NPI (1639576697) is active in the NPPES registry as of the last update on 2022-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.