Portville Dental Pllc is a Dental Clinic in Portville, New York. It is located at 149 S Main St, Portville, NY and its contact number is 716-933-6787. The authorized person for Portville Dental Pllc is Dr. Olin Boyce Mcdivitt
who is Owner of the clinic and their contact number is 716-933-6787. The primary license number for Portville Dental Pllc is 1223G0001X (General Practice) in New York.
Portville Dental Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Portville Dental Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Portville Dental Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 149 S Main St, Portville,
New York, 14770-9703 |
| Phone: | 716-933-6787 |
| Fax: | 716-933-0117 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Olin Boyce Mcdivitt |
| Position: | Owner |
| Contact Number: | 716-933-6787 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Portville Dental Pllc clinic are as mentioned below.
| NPI Number: | 1740494137 |
| NPI Enumeration Date: | 09 May, 2007 |
| NPI Last Update On: | 15 Jun, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portville Dental Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 1223G0001X | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0005536000001 | Medicaid | Pennsylvania | |
| 1962490987 | Other | | Mcdivitt Npi |
| 02386001NY | Medicaid | New York | |
| 1407844426 | Other | | Petryszak Npi |
| 00605445NY | Medicaid | New York | |
| 007700991 | Other | | Mcdivitt Bc Bs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Portville Dental Pllc
149 S Main St,
Portville, New York |
| Zip: | 14770-9703 |
| Phone Number: | 716-933-6787 |
| Fax Number: | 716-933-0117 |
Patients can reach Portville Dental Pllc at
149 S Main St, Portville, New York or can
call to book an appointment on 716-933-6787.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.