1. Home
  2. Directory
  3. New York
  4. Port Jefferson
  5. Dentist
  6. NPI Profile

PORT JEFFERSON DENTAL GROUP P. C.
NPI 1093960890
Dentist - General Practice in Port Jefferson, NY

Active since November 20, 2008
602 MAIN ST, PORT JEFFERSON, NY 11777(631) 473-0605 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port Jefferson Dental Group P. C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT JEFFERSON DENTAL GROUP P. C. (NPI 1093960890) is a healthcare organization registered as a general practice in Port Jefferson, New York and active in the NPI registry since November 2008. The organization lists John C Rutter, President, as its authorized official.

NPPES Registry Identity

NPI1093960890
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePORT JEFFERSON DENTAL GROUP P. C.
Location Address602 MAIN STPort Jefferson, NY 11777-2203
Mailing Address602 Main StPort Jefferson, NY 11777-2203 · (631) 473-0605
Phone(631) 473-0605
Organization SubpartNo
Authorized OfficialJohn C RutterPresident · (631) 473-1511
Enumeration DateNovember 20, 2008
✔ NPI 1093960890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 033761✔ Licensed in NY · 051054
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
602 MAIN ST, Port Jefferson, NY 11777
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN DAVIS DDS
Dentist (General Practice)
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511
DR. SOPHIA C MANOLIS DDS
Dentist
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511
SOPHIA MANOLIS DDS P.C.
Dentist (General Practice)
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511
JOHN C RUTTER D.D.S
Dentist
602 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Jefferson Dental Group P. C.'s NPI number?

The NPI number for Port Jefferson Dental Group P. C. is 1093960890. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Port Jefferson Dental Group P. C. located?

Port Jefferson Dental Group P. C. is located at 602 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 473-0605.

What is Port Jefferson Dental Group P. C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Port Jefferson Dental Group P. C. was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.