Lockport Dental Group Pc D/b/s Medina Dental Group is a Dental Clinic in Medina, New York. It is located at 610 Park Ave, Medina, NY and its contact number is 585-798-0100. The authorized person for Lockport Dental Group Pc D/b/s Medina Dental Group is Dr. Jonathan Barry Stockton
who is Owner/dentist of the clinic and their contact number is 585-798-0100. The primary license number for Lockport Dental Group Pc D/b/s Medina Dental Group is 32240 (Dentist) in New York. Lockport Dental Group Pc D/b/s Medina Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lockport Dental Group Pc D/b/s Medina Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lockport Dental Group Pc D/b/s Medina Dental Group
Specialization:
Dentistry
Clinic Address:
610 Park Ave, Medina, New York, 14103-1022
Phone:
585-798-0100
Fax:
585-798-3297
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jonathan Barry Stockton
Position:
Owner/dentist
Contact Number:
585-798-0100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lockport Dental Group Pc D/b/s Medina Dental Group clinic are as mentioned below.
NPI Number:
1639576697
NPI Enumeration Date:
19 Nov, 2014
NPI Last Update On:
16 Nov, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lockport Dental Group Pc D/b/s Medina Dental Group are as mentioned below.
Specialization
License Number
State
Status
Dentist
32240
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1497830483
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lockport Dental Group Pc D/b/s Medina Dental Group 610 Park Ave, Medina, New York
Zip:
14103-1022
Phone Number:
585-798-0100
Fax Number:
585-798-3297
Patients can reach Lockport Dental Group Pc D/b/s Medina Dental Group at 610 Park Ave, Medina, New York or can call to book an appointment on 585-798-0100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.