Jack Michael Dorkhom in Pittsford - Dentist
Jack Michael Dorkhom - NPI 1184831109
Jack Michael Dorkhom is a Dentist in Pittsford, New York. Jack Michael Dorkhom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Michael Dorkhom is 1184831109. The last update date is 2012-01-11.
Jack Michael Dorkhom's current location address is 69a Monroe Ave, Pittsford, New York. You can contact this provider via phone number 5855862580 and fax number 5855864924. The mailing address for Jack Michael Dorkhom is 69a Monroe Ave, Pittsford, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Michael Dorkhom |
|---|---|
| Address | 69a Monroe Ave, Pittsford, New York |
| Phone Number | 5855862580 |
| Fax Number | 5855864924 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1184831109 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2012-01-11 |
Provider Mailing Address Detail
| Address | 69a Monroe Ave |
|---|---|
| City | Pittsford |
| State | New York (NY) |
| Post Code | 145341321 |
| Phone Number | 5855862580 |
| Fax Number | 5855864924 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51194 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Jack Michael Dorkhom by the Centers for Medicare & Medicaid Services?
The Jack Michael Dorkhom has been issued the NPI (National Provider Identifier) 1184831109. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Michael Dorkhom located?
The Jack Michael Dorkhom is located at 69A Monroe Ave, Pittsford, NY 145341321.
What is Jack Michael Dorkhom's area of expertise and its corresponding taxonomy classification?
The Jack Michael Dorkhom's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1184831109 to Jack Michael Dorkhom?
The Jack Michael Dorkhom received its 1184831109 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.
When was the Jack Michael Dorkhom's information last updated?
The Jack Michael Dorkhom's information was last updated on 2012-01-11.
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