Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward Tracy Sall, MD, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1710961198

Dr. Edward Tracy Sall, MD, DDS is a Sleep Medicine in Fayetteville, New York. Graduated from State University of Ny Upstate Medical University in 1992, 34 years ago. Practices with Sd Diagnostics Inc, a 7-clinician group, works from 3 locations and offers telehealth. Licensed in California and New York.

Years since qualifying
34
Trained at
State University of Ny Upstate Medical University
Licensed in
CA, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4000 Medical Center Dr Ste 404
Fayetteville, NY 13066
Phone: (315) 234-9865
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5601 W Eugie Ave Ste 206, Glendale, AZ 85304-1258 — (623) 299-8799
  • 5471 Kearny Villa Rd, San Diego, CA 92123-1151 — (619) 299-6299

Specialties & licences

Otolaryngic Allergy Physician (primary) Taxonomy 207YX0602X · Licence 181365 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 104553 (CA)

Record details

NPI number1710961198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySLEEP MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice Sd Diagnostics Inc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fayetteville