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Dr. Edward Tracy Sall, MD,DDS
Otolaryngic Allergy Physician in Fayetteville, New York
NPI 1710961198

Edward Tracy Sall is a Otolaryngic Allergy Physician based in San Diego, NY and is specialized in Otolaryngic Allergy. Edward Tracy Sall practices in Fayetteville, NY and has the professional credentials of MD,DDS. The NPI Number for Edward Tracy Sall is 1710961198 and holds a License No. 104553 (New York).

The current practice location address for Edward Tracy Sall is 4000 Medical Center Dr., Fayetteville, NY and can be reached out via phone at 315-234-9865.

Location: 4000 Medical Center Dr., Fayetteville, NY, 92123-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710961198
Provider Name
Edward Tracy Sall
Credential
MD,DDS
Provider Entity Type
Individual
Gender
Male
Address
4000 Medical Center Dr., Fayetteville, NY, 92123-1143
Phone Number
315-234-9865
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
4000 Medical Center Dr.
City
Fayetteville
State
New York
Zip
13066
Phone Number
315-234-9865
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Medical Center Dr.
City
Fayetteville
State
New York
Zip
13066
Phone Number
315-234-9865
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
181365 (New York)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
104553 (California)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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