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

Victoria E. Shack, DDS, PC

Organization Dentist · NPI 1366896466

Victoria E. Shack, DDS, PC is a Dentist in Port Jefferson Station, 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

3 Medical Dr Ste D
Port Jefferson Station, NY 11776-1597
Phone: (631) 928-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 056759 (NY)

Record details

NPI number1366896466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Shack — President · (631) 928-7500
NPI enumeratedApril 15, 2016
Last updated in NPPESApril 15, 2016
Mailing address3 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1597

Other providers in Port Jefferson Station