MEDICARE: TRI-COUNTY DENTAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	043623-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508067059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-COUNTY DENTAL, PC

Provider Business Mailing Address
First Line	:	117 MAIN ST
Second Line	:
City	:	SALAMANCA
State	:	NY
Zip	:	14779-1529
Country	:	US
Telephone Number	:	716-945-7500
Fax Number	:	716-945-7774

Provider Business Practice Location Address
First Line	:	117 MAIN ST
Second Line	:
City	:	SALAMANCA
State	:	NY
Zip	:	14779-1529
Country	:	US
Telephone Number	:	716-945-7500
Fax Number	:	716-945-7774

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TRACY CULVER
Credential	:
Telephone Number	:	716-945-7500

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1770586398 — EVELYN OUELLETTE CRNP
Practice Location Address:

117 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-945-5500
Practice Fax: 716-945-5506

1730180969 — TERRY MYERS RPH
Practice Location Address:

77 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-945-6712
Practice Fax: 716-945-1520

1962605295 — MARILYN K EDDY-SIPEREK LMHC
Practice Location Address:

97 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-945-5211
Practice Fax: 716-945-5267

1104029594 — AMEE L CROWLEY LMSW
Practice Location Address:

97 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-945-5211
Practice Fax: 716-945-5267

1043413065 — ALLISON L AYERS LCSWR
Practice Location Address:

117 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-307-2382
Practice Fax:

1740476324 — CHRISTI L VISNESKI RN
Practice Location Address:

97 MAIN ST
SALAMANCA, NY
14779-1529

Practice Phone: 716-945-5211
Practice Fax: 716-945-5267

Directions to “TRI-COUNTY DENTAL, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.