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

South Fork Family Dentistry PC

Organization General Practice Dentistry · NPI 1720766868

South Fork Family Dentistry PC provides General Practice Dentistry in East Quogue, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

426 Montauk Hwy
East Quogue, NY 11942-3952
Phone: (631) 653-4479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1720766868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Shack — President · (917) 324-7927
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 9, 2023
Mailing address4 Scheyer Ct, Medford, NY 11763-3022

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