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SARATOGA COUNTY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
NPI 1639196637
Dentist - Oral and Maxillofacial Surgery in Saratoga Springs, NY

Active since July 16, 2006CLIA 33D2183204 · Waiver
4 CARE LN, SARATOGA SPRINGS, NY 12866(518) 583-4497(518) 583-3779 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saratoga County Oral & Maxillofacial Surgery Associates NPPES

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

SARATOGA COUNTY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES (NPI 1639196637) is a healthcare organization registered as an oral and maxillofacial surgery in Saratoga Springs, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Danielle L Whitacre, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639196637
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSARATOGA COUNTY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Location Address4 CARE LNSaratoga Springs, NY 12866-8624
Mailing Address4 Care LnSaratoga Springs, NY 12866-8624 · (518) 583-4497 · Fax (518) 583-3779
Phone(518) 583-4497
Fax(518) 583-3779
Organization SubpartNo
Authorized OfficialDanielle L WhitacreOffice Manager · (518) 583-4497
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1639196637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.

4 CARE LN, Saratoga Springs, NY 12866
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2183204

Saratoga County Oral & Maxillofacial Surgery Assoc · Saratoga Springs, NY
Active · expires Apr 30, 2028
CLIA Number33D2183204
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDr. Lionel A. Bulford
Laboratory Phone(518) 583-4497
Laboratory LocationSaratoga County Oral & Maxillofacial Surgery Assoc4 Care Lane, Saratoga Springs, NY 12866
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. ROBERT DENNIS CARPENTER DMD
Dentist (Oral and Maxillofacial Pathology)
4 CARE LN
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-4497
DR. LIONEL ANGELO BULFORD DDS
Dentist (Oral and Maxillofacial Surgery)
4 CARE LN
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-4497
TRENT ICHIUJI DDS
Dentist (Oral and Maxillofacial Surgery)
4 CARE LN
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-4497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saratoga County Oral & Maxillofacial Surgery Associates's NPI number?

The NPI number for Saratoga County Oral & Maxillofacial Surgery Associates is 1639196637. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Saratoga County Oral & Maxillofacial Surgery Associates located?

Saratoga County Oral & Maxillofacial Surgery Associates is located at 4 Care Ln, Saratoga Springs, NY 12866. The listed phone number is (518) 583-4497.

What is Saratoga County Oral & Maxillofacial Surgery Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Saratoga County Oral & Maxillofacial Surgery Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2183204) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saratoga County Oral & Maxillofacial Surgery Associates was last updated on September 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.