OrganizationActive
Lake Grove Dentistry PC
NPI 1174075519 · Dentist · Lake Grove, NY
Lake Grove Dentistry PC is a Dentist organization in Lake Grove, NY (NPI 1174075519).
Provider details
- NPI number
- 1174075519
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Meena Shah, Owner(631) 467-7878
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1014 Hawkins Ave
Lake Grove, NY 11755-1600
Phone: (631) 467-7878
Street-level locationGet directions
Mailing address
1014 Hawkins Ave
Lake Grove, NY 11755-1600
Registry dates
- Enumerated
- 2016-11-02
- Last updated
- 2016-11-02
Frequently asked questions
- What is Lake Grove Dentistry PC's NPI number?
- Lake Grove Dentistry PC's National Provider Identifier (NPI) is 1174075519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Grove Dentistry PC?
- Lake Grove Dentistry PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Grove Dentistry PC located?
- Lake Grove Dentistry PC's practice location on file with NPPES is 1014 Hawkins Ave, Lake Grove, NY 11755-1600.
- What is Lake Grove Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Grove Dentistry PC is (631) 467-7878.
- Who is the authorized official for Lake Grove Dentistry PC?
- The authorized official listed on Lake Grove Dentistry PC's NPPES record is Meena Shah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Grove Dentistry PC's NPI active?
- Yes — Lake Grove Dentistry PC's NPI (1174075519) is active in the NPPES registry as of the last update on 2016-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.