| South Fork Family Dentistry Pc | |
|
426 Montauk Hwy East Quogue NY 11942-3952 | |
| (631) 653-4479 | |
| Not Available |
| Full Name | South Fork Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 426 Montauk Hwy, East Quogue, New York |
| Authorized Official Name and Position | Victoria Elena Shack (PRESIDENT) |
| Authorized Official Contact | 9173247927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Fork Family Dentistry Pc 4 Scheyer Ct Medford NY 11763-3022 Ph: () - | South Fork Family Dentistry Pc 426 Montauk Hwy East Quogue NY 11942-3952 Ph: (631) 653-4479 |
| NPI Number | 1720766868 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720766868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hampton Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Montauk Hwy, East Quogue, NY 11942 Phone: 631-653-5888 Fax: 631-653-7813 |