Victoria E. Shack, Dds, Pc

LBN: Victoria E. Shack, Dds, Pc
Victoria E. Shack, Dds, Pc is an health care organization with primary practice located at 3 Medical Dr Suite D, Port Jefferson Station NY 11776-1597. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Victoria E. Shack, Dds, Pc can be contacted via phone (631) 928-7500, or through Shack, Victoria Elena via phone (631) 928-7500.

Contact Information

Primary practice address
3 Medical Dr Suite D Port Jefferson Station NY 11776-1597
Phone: (631) 928-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shack, Victoria Elena Doctor of Dental Surgery (DDS)
Phone: (631) 928-7500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 056759 New York

Profile Details

NPI number 1366896466
LBN Legal business name Victoria E. Shack, Dds, Pc
DBA Doing business as
Authorized official Shack, Victoria Elena Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2016
Last updated Apr 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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