SOUTH FORK FAMILY DENTISTRY PC
NPI 1720766868
Dentist - General Practice in East Quogue, NY

Q: What is South Fork Family Dentistry PC's NPI number?

The NPI number for South Fork Family Dentistry PC is 1720766868. It was assigned to this organization in the NPPES registry on July 10, 2023.

Q: What is South Fork Family Dentistry PC's specialty?

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

Active since July 10, 2023

426 MONTAUK HWY, EAST QUOGUE, NY 11942(631) 653-4479 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About South Fork Family Dentistry Pc NPPES

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

SOUTH FORK FAMILY DENTISTRY PC (NPI 1720766868) is a healthcare organization registered as a general practice in East Quogue, New York and active in the NPI registry since July 2023. The organization lists Victoria Elena Shack, President, as its authorized official.

NPPES Registry Identity

NPI1720766868

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH FORK FAMILY DENTISTRY PC

Location Address426 MONTAUK HWYEast Quogue, NY 11942-3952

Mailing Address4 Scheyer CtMedford, NY 11763-3022

Phone(631) 653-4479

Organization SubpartNo

Authorized OfficialVictoria Elena ShackPresident · (917) 324-7927

Enumeration DateJuly 10, 2023

NPPES CertifiedJuly 9, 2023

✔ NPI 1720766868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

426 MONTAUK HWY, East Quogue, NY 11942

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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

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

DR. JOHN J ROMANO D.D.S.

Dentist (General Practice)

426 MONTAUK HWY
EAST QUOGUE, NY 11942

Suffolk County (631) 653-4479

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 South Fork Family Dentistry PC's NPI number?

The NPI number for South Fork Family Dentistry PC is 1720766868. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is South Fork Family Dentistry PC located?

South Fork Family Dentistry PC is located at 426 Montauk Hwy, East Quogue, NY 11942. The listed phone number is (631) 653-4479.

What is South Fork Family Dentistry PC's specialty?

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

What insurance does South Fork Family Dentistry PC accept?

Health plans from UnitedHealthcare list South Fork Family Dentistry 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 South Fork Family Dentistry PC was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.