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

Dr. Jack Michael Dorkhom, DMD

Individual provider Dentist · NPI 1184831109

Dr. Jack Michael Dorkhom, DMD is a Dentist in Pittsford, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

101 Sully's Trl Bldg 10
Pittsford, NY 14534
Phone: (585) 586-8895
Fax: (585) 485-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 051194 (NY)

Record details

NPI number1184831109
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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