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Victoria Elena Shack, DDS
General Practice Dentistry in Port Jefferson, New York
NPI 1538427802

Victoria Elena Shack is a General Practice Dentistry based in Port Jefferson, NY and is specialized in General Practice. Victoria Elena Shack practices in Port Jefferson, NY and has the professional credentials of DDS. The NPI Number for Victoria Elena Shack is 1538427802 and holds a License No. 056759-1 (New York).

The current practice location address for Victoria Elena Shack is 150 N Country Rd, Port Jefferson, NY and can be reached out via phone at 917-324-7927.

Location: 150 N Country Rd, Port Jefferson, NY, 11777-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538427802
Provider Name
Victoria Elena Shack
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
150 N Country Rd, Port Jefferson, NY, 11777-2154
Phone Number
917-324-7927
Fax Number
Provider Enumeration Date
04/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2154
Phone Number
917-324-7927
Fax Number
person
Provider Business Mailing Address Details
Address
150 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2154
Phone Number
917-324-7927
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
056759-1 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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