Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenyatta Mack-Gates, DDS

Individual provider Dentist · NPI 1023007374

Dr. Kenyatta Mack-Gates, DDS is a Dentist in Middletown, New York. Graduated from Howard University College of Dentistry in 1997, 29 years ago. Works from 2 locations. Licensed in Maryland, New York, Pennsylvania and Virginia.

Years since qualifying
29
Trained at
Howard University College of Dentistry
Licensed in
MD, NY, PA, VA
In the registry since
2005
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

61 Orange Plaza Ln
Middletown, NY 10940-2254
Phone: (845) 344-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 N 11th St, Philadelphia, PA 19123-1957 — (215) 769-1100

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS042997 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0401411320 (VA)
Dentist Taxonomy 122300000X · Licence 048566 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12933 (MD)

Record details

NPI number1023007374
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address61 Orange Plaza Ln, Middletown, NY 10940-2254

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolHOWARD UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Middletown