Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Grove Dentistry PC

Organization Dentist · NPI 1174075519

Lake Grove Dentistry PC is a Dentist in Lake Grove, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1014 Hawkins Ave
Lake Grove, NY 11755-1600
Phone: (631) 467-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1174075519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meena Shah — Owner · (631) 467-7878
NPI enumeratedNovember 2, 2016
Last updated in NPPESNovember 2, 2016
Mailing address1014 Hawkins Ave, Lake Grove, NY 11755-1600