- Dental Clinic in Portville, NY

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is a dental clinic (Dentist - General Practice) in Portville, New York. The current practice location for is 149 S Main St, Portville, New York. For appointments, you can reach them via phone at (716) 933-6787. The mailing address for is 149 S Main St, Portville, New York and phone number is (716) 933-6787.

is licensed to practice in New York (license number 1223G0001X) and its NPI number is 1740494137. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (716) 933-6787.

Contact Information

149 S Main St
Portville
NY 14770-9703
(716) 933-6787
(716) 933-0117

Map and Direction


Dental Care Clinic Profile

Full Name
SpecialityDentist - General Practice
Location149 S Main St, Portville, New York
Authorized Official Name and PositionOlin Boyce Mcdivitt (OWNER)
Authorized Official Contact7169336787
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

149 S Main St
Portville
NY 14770-9703

Ph: (716) 933-6787
149 S Main St
Portville
NY 14770-9703

Ph: (716) 933-6787

NPI Details:

NPI Number1740494137
Provider Enumeration Date05/09/2007
Last Update Date06/15/2010

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740494137NPI-NPPES
0005536000001MedicaidPA
1962490987OtherMCDIVITT NPI
02386001NYMedicaidNY
1407844426OtherPETRYSZAK NPI
00605445NYMedicaidNY
007700991OtherMCDIVITT BC BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1223G0001X (New York)Primary

Reviews and Comments


Dental Clinics in Portville, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.