Port Jefferson Dental Group P. C.
NPI 1093960890 · General Practice Dentistry · Port Jefferson, NY
Port Jefferson Dental Group P. C. is a General Practice Dentistry organization in Port Jefferson, NY (NPI 1093960890).
Provider details
- NPI number
- 1093960890
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Rutter, President(631) 473-1511
- License
- 051054 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2008-11-20
Frequently asked questions
- What is Port Jefferson Dental Group P. C.'s NPI number?
- Port Jefferson Dental Group P. C.'s National Provider Identifier (NPI) is 1093960890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Jefferson Dental Group P. C.?
- Port Jefferson Dental Group P. C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Port Jefferson Dental Group P. C. located?
- Port Jefferson Dental Group P. C.'s practice location on file with NPPES is 602 Main St, Port Jefferson, NY 11777-2203.
- What is Port Jefferson Dental Group P. C.'s phone number?
- The practice phone number listed in the NPPES registry for Port Jefferson Dental Group P. C. is (631) 473-0605.
- Who is the authorized official for Port Jefferson Dental Group P. C.?
- The authorized official listed on Port Jefferson Dental Group P. C.'s NPPES record is John Rutter, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Jefferson Dental Group P. C.'s NPI active?
- Yes — Port Jefferson Dental Group P. C.'s NPI (1093960890) is active in the NPPES registry as of the last update on 2008-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.