Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medina Dental PLLC

Organization Dentist · NPI 1639576697

Medina Dental PLLC is a Dentist in Medina, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

610 Park Ave
Medina, NY 14103-1022
Phone: (585) 798-0100
Fax: (585) 798-3297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 32240 (NY)

Record details

NPI number1639576697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Stockton — Owner/Dentist · (585) 798-0100
Other names Lockport Dental Group Pc D/B/S Medina Dental Group
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address610 Park Ave, Medina, NY 14103-1022