Tri-County Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043623-1 Issued in NY

Legal business name

TRI-COUNTY DENTAL, PC

Practice address

117 Main St
Salamanca, NY 14779-1529

Phone

(716) 945-7500

Fax

(716) 945-7774

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Culver

Title

Director

Phone

(716) 945-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tri-County Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tri-County Dental, PC

  • General Practice Dentistry
  • Gowanda, NY
  • NPI 1578687216
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508067059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791529",
            "telephone_number": "716-945-7500",
            "fax_number": "716-945-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791529",
            "telephone_number": "716-945-7500",
            "fax_number": "716-945-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-945-7500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043623-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02848864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas Thandla, MD
• Sushama Kotmire Thandla, MD
• Morgan Thorne, DDS
• Katee E Tiballi, PHARMD, RPH
• Lisa Traina, NP
• Hannah Ulinger
• Tracy Lyn Vedder, LCSW
• Christi L Visneski, RN
• Allen J Ward, LCSW
• Cheryl Wier, MSN RN

• General Practice Dentistry in Salamanca, NY
• Providers in Salamanca, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.