VICTORIA E. SHACK, DDS, PC
NPI 1366896466
Dentist in Port Jefferson Station, NY

Q: What is Victoria E. Shack, Dds, PC's NPI number?

The NPI number for Victoria E. Shack, Dds, PC is 1366896466. It was assigned to this organization in the NPPES registry on April 15, 2016.

Q: What is Victoria E. Shack, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 15, 2016

3 MEDICAL DR, SUITE D, PORT JEFFERSON STATION, NY 11776(631) 928-7500 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victoria E. Shack, Dds, Pc NPPES

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

VICTORIA E. SHACK, DDS, PC (NPI 1366896466) is a healthcare organization registered as a dentist in Port Jefferson Station, New York and active in the NPI registry since April 2016. The organization lists Victoria Elena Shack, President, as its authorized official.

NPPES Registry Identity

NPI1366896466

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameVICTORIA E. SHACK, DDS, PC

Location Address3 MEDICAL DR, SUITE DPort Jefferson Station, NY 11776-1597

Mailing Address3 Medical Dr, Suite DPort Jefferson Station, NY 11776-1597 · (631) 928-7500

Phone(631) 928-7500

Organization SubpartNo

Authorized OfficialVictoria Elena ShackPresident · (631) 928-7500

Enumeration DateApril 15, 2016

✔ NPI 1366896466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 056759

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3 MEDICAL DR, Port Jefferson Station, NY 11776

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. DAVID NATHAN D.D.S.

Dentist (General Practice)

3 MEDICAL DR, SUITE D
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-7500

THEODORE RANDOLPH,DPM

Podiatrist (Foot & Ankle Surgery)

3 MEDICAL DR, SUITE C
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-7785

THEODORE JOHN RANDOLPH D.P.M

Podiatrist (Foot & Ankle Surgery)

3 MEDICAL DR, SUITE C
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-7785

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 Victoria E. Shack, Dds, PC's NPI number?

The NPI number for Victoria E. Shack, Dds, PC is 1366896466. It was assigned to this organization in the NPPES registry on April 15, 2016.

Where is Victoria E. Shack, Dds, PC located?

Victoria E. Shack, Dds, PC is located at 3 Medical Dr Suite D, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-7500.

What is Victoria E. Shack, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Victoria E. Shack, Dds, PC accept?

Health plans from UnitedHealthcare list Victoria E. Shack, Dds, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria E. Shack, Dds, PC was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.