SCHENECTADY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
NPI 1124115373
Dentist - Oral and Maxillofacial Surgery in Schenectady, NY

Active since October 09, 2006
2141 EASTERN PKWY, SCHENECTADY, NY 12309(518) 372-2859(518) 370-5983 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Schenectady Oral And Maxillofacial Surgery Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCHENECTADY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES (NPI 1124115373) is a healthcare organization registered as an oral and maxillofacial surgery in Schenectady, New York and active in the NPI registry since October 2006. The organization lists Theresa M Duval, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124115373
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSCHENECTADY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Location Address2141 EASTERN PKWYSchenectady, NY 12309-6347
Mailing Address2141 Eastern PkwySchenectady, NY 12309-6347 · (518) 372-2859 · Fax (518) 370-5983
Fax(518) 370-5983
Organization SubpartNo
Authorized OfficialTheresa M DuvalOffice Manager · (518) 372-2859
Enumeration DateOctober 9, 2006
Last NPPES UpdateJuly 2, 2008
NPI 1124115373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NY · 034224 Licensed in NY · 044618
Definition

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.

2141 EASTERN PKWY, Schenectady, NY 12309

Other Identifiers 3

Medicaid01471952NY
Medicaid00550087NY
Medicare PIN52009ANY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
2141 EASTERN PKWY
SCHENECTADY, NY 12309
Durable Medical Equipment & Medical Supplies
2141 EASTERN PKWY
NISKAYUNA, NY 12309
Nurse Practitioner (Psychiatric/Mental Health)
2141 EASTERN PKWY
SCHENECTADY, NY 12309
Nurse Practitioner (Psychiatric/Mental Health)
2141 EASTERN PKWY
NISKAYUNA, NY 12309
Nurse Practitioner (Psychiatric/Mental Health)
2141 EASTERN PKWY
NISKAYUNA, NY 12309
Registered Nurse (Psychiatric/Mental Health)
2141 EASTERN PKWY
SCHENECTADY, NY 12309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124115373, enumerated as an "organization" on October 09, 2006.

The provider is located at 2141 EASTERN PKWY SCHENECTADY, NY 12309 and the phone number is (518) 372-2859.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.