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 provides Dentist services 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