| Tri-county Dental, Pc | |
|
117 Main St Salamanca NY 14779-1529 | |
| (716) 945-7500 | |
| (716) 945-7774 |
| Full Name | Tri-county Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 Main St, Salamanca, New York |
| Authorized Official Name and Position | Tracy Culver (DIRECTOR) |
| Authorized Official Contact | 7169457500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Dental, Pc 117 Main St Salamanca NY 14779-1529 Ph: (716) 945-7500 | Tri-county Dental, Pc 117 Main St Salamanca NY 14779-1529 Ph: (716) 945-7500 |
| NPI Number | 1508067059 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508067059 | NPI | - | NPPES |
| 02848864 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 043623-1 (New York) | Primary |