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

South Fork Family Dentistry PC

Organization General Practice Dentistry · NPI 1720766868

South Fork Family Dentistry PC is a General Practice Dentistry in East Quogue, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

426 Montauk Hwy
East Quogue, NY 11942-3952
Phone: (631) 653-4479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1720766868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Shack — President · (917) 324-7927
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 9, 2023
Mailing address4 Scheyer Ct, Medford, NY 11763-3022

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