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

Port Jefferson Dental Group P. C.

Organization General Practice Dentistry · NPI 1093960890

Port Jefferson Dental Group P. C. is a General Practice Dentistry in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

602 Main St
Port Jefferson, NY 11777-2203
Phone: (631) 473-0605
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 033761 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 051054 (NY)

Record details

NPI number1093960890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rutter — President · (631) 473-1511
NPI enumeratedNovember 20, 2008
Last updated in NPPESNovember 20, 2008
Mailing address602 Main St, Port Jefferson, NY 11777-2203

Other providers in Port Jefferson