OrganizationActive
South Fork Family Dentistry PC
NPI 1720766868 · General Practice Dentistry · East Quogue, NY
South Fork Family Dentistry PC is a General Practice Dentistry organization in East Quogue, NY (NPI 1720766868).
Provider details
- NPI number
- 1720766868
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Victoria Shack, President(917) 324-7927
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
426 Montauk Hwy
East Quogue, NY 11942-3952
Phone: (631) 653-4479
Approximate (ZIP-level) locationGet directions
Mailing address
4 Scheyer Ct
Medford, NY 11763-3022
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-09
Frequently asked questions
- What is South Fork Family Dentistry PC's NPI number?
- South Fork Family Dentistry PC's National Provider Identifier (NPI) is 1720766868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Fork Family Dentistry PC?
- South Fork Family Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is South Fork Family Dentistry PC located?
- South Fork Family Dentistry PC's practice location on file with NPPES is 426 Montauk Hwy, East Quogue, NY 11942-3952.
- What is South Fork Family Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for South Fork Family Dentistry PC is (631) 653-4479.
- Who is the authorized official for South Fork Family Dentistry PC?
- The authorized official listed on South Fork Family Dentistry 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 South Fork Family Dentistry PC's NPI active?
- Yes — South Fork Family Dentistry PC's NPI (1720766868) is active in the NPPES registry as of the last update on 2023-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.