CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONSLLC NPI 1518047166

NPI Information

CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS,LLC is an oral and maxillofacial surgery dentist in Albany, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS,LLC NPI is 1518047166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 SOUTHWOODS BLVD
ALBANY, NY
ZIP 12211-526
Phone: (518) 445-2505
Fax: (518) 445-2508

The provider's authorized official is Pat Panucci .
The authorized official title is Practice Manager and has the following contact phone number (518) 445-2505.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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