OrganizationActive
Victoria E. Shack, DDS, PC
NPI 1366896466 · Dentist · Port Jefferson Station, NY
Victoria E. Shack, DDS, PC is a Dentist organization in Port Jefferson Station, NY (NPI 1366896466).
Provider details
- NPI number
- 1366896466
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Victoria Shack, President(631) 928-7500
- License
- 056759 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3 Medical Dr
Suite D
Port Jefferson Station, NY 11776-1597
Phone: (631) 928-7500
Street-level locationGet directions
Mailing address
3 Medical Dr
Port Jefferson Station, NY 11776-1597
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2016-04-15
Frequently asked questions
- What is Victoria E. Shack, DDS, PC's NPI number?
- Victoria E. Shack, DDS, PC's National Provider Identifier (NPI) is 1366896466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victoria E. Shack, DDS, PC?
- Victoria E. Shack, DDS, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Victoria E. Shack, DDS, PC located?
- Victoria E. Shack, DDS, PC's practice location on file with NPPES is 3 Medical Dr, Port Jefferson Station, NY 11776-1597.
- What is Victoria E. Shack, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Victoria E. Shack, DDS, PC is (631) 928-7500.
- Who is the authorized official for Victoria E. Shack, DDS, PC?
- The authorized official listed on Victoria E. Shack, DDS, PC's NPPES record is Victoria Shack, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victoria E. Shack, DDS, PC's NPI active?
- Yes — Victoria E. Shack, DDS, PC's NPI (1366896466) is active in the NPPES registry as of the last update on 2016-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.