OrganizationActive
Jack M. Dorkhom, DMD, PLLC
NPI 1659721025 · General Practice Dentistry · Pittsford, NY
Jack M. Dorkhom, DMD, PLLC is a General Practice Dentistry organization in Pittsford, NY (NPI 1659721025).
Provider details
- NPI number
- 1659721025
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jack Dorkhom, Member/Owner(585) 586-8895
- License
- 051194 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
101 Sullys Trl
Building 10, Suite 11
Pittsford, NY 14534-4552
Phone: (585) 586-8895
Street-level locationGet directions
Mailing address
101 Sullys Trl
Pittsford, NY 14534-4552
Other names (DBA / former)
- Doing business as
- Meadowgate Family Dental
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2016-06-16
Frequently asked questions
- What is Jack M. Dorkhom, DMD, PLLC's NPI number?
- Jack M. Dorkhom, DMD, PLLC's National Provider Identifier (NPI) is 1659721025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack M. Dorkhom, DMD, PLLC?
- Jack M. Dorkhom, DMD, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jack M. Dorkhom, DMD, PLLC located?
- Jack M. Dorkhom, DMD, PLLC's practice location on file with NPPES is 101 Sullys Trl, Pittsford, NY 14534-4552.
- What is Jack M. Dorkhom, DMD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jack M. Dorkhom, DMD, PLLC is (585) 586-8895.
- Who is the authorized official for Jack M. Dorkhom, DMD, PLLC?
- The authorized official listed on Jack M. Dorkhom, DMD, PLLC's NPPES record is Jack Dorkhom, Member/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack M. Dorkhom, DMD, PLLC's NPI active?
- Yes — Jack M. Dorkhom, DMD, PLLC's NPI (1659721025) is active in the NPPES registry as of the last update on 2016-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.