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

Mohegan Lake Dental PC

Organization Dental Clinic/Center · NPI 1164974853

Mohegan Lake Dental PC is a Dental Clinic/Center in Mohegan Lake, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
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

1719 E Main St
Mohegan Lake, NY 10547-1356
Phone: (914) 528-2191
Fax: (914) 743-1579
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 0556901 (NY)

Record details

NPI number1164974853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ojas Shah — Owner/President · (914) 310-1609
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016
Mailing address1719 E Main St, Mohegan Lake, NY 10547-1356