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Portville Dental Pllc
General Practice Dentistry in Portville, New York
NPI 1740494137

Portville Dental Pllc is a General Practice Dentistry based in Portville, NY and is specialized in General Practice. Portville Dental Pllc practices in Portville, NY. The NPI Number for Portville Dental Pllc is 1740494137 and holds a License No. 1223G0001X (New York).

The current practice location address for Portville Dental Pllc is 149 S Main St, Portville, NY and can be reached out via phone at 716-933-6787 and via fax at 716-933-0117.

Location: 149 S Main St, Portville, NY, 14770-9703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740494137
Provider Name
Portville Dental Pllc
Credential
Provider Entity Type
Organization
Address
149 S Main St, Portville, NY, 14770-9703
Phone Number
716-933-6787
Fax Number
716-933-0117
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005536000001 05 PA
1962490987 01 MCDIVITT NPI
02386001NY 05 NY
1407844426 01 PETRYSZAK NPI
00605445NY 05 NY
007700991 01 MCDIVITT BC BS
institution
Provider Business Practice Location Address Details
Address
149 S Main St
City
Portville
State
New York
Zip
14770-9703
Phone Number
716-933-6787
Fax Number
716-933-0117
person
Provider Business Mailing Address Details
Address
149 S Main St
City
Portville
State
New York
Zip
14770-9703
Phone Number
716-933-6787
Fax Number
716-933-0117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1223G0001X (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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