CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS
NPI 1730737545
Dentist - Oral and Maxillofacial Surgery in Albany, NY

Active since August 27, 2019
7 SOUTHWOODS BLVD STE 1, ALBANY, NY 12211(518) 445-2505 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Aug 27, 2019 (2 updates tracked since 2019).

About Capital District Oral & Maxillofacial Surgeons NPPES

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

CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS (NPI 1730737545) is a healthcare organization registered as an oral and maxillofacial surgery in Albany, New York and active in the NPI registry since August 2019. The organization lists Leah Ann Maylott, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1730737545
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHWOODS BOULEVARD DENTAL, P.C.
Location Address7 SOUTHWOODS BLVD STE 1Albany, NY 12211-2526
Mailing Address330 Whitney Ave Ste 740Holyoke, MA 01040-2789 · (413) 382-7022
Organization SubpartYes
Authorized OfficialLeah Ann MaylottCredentialing Administrator · (860) 874-8198
Enumeration DateAugust 27, 2019
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1730737545 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.
7 SOUTHWOODS BLVD STE 1, Albany, NY 12211

Other Names 1

Doing Business AsCapital District Oral & Maxillofacial Surgeons

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

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 Southwoods Boulevard Dental, P.C.'s NPI number?

The NPI number for Southwoods Boulevard Dental, P.C. is 1730737545. It was assigned to this organization in the NPPES registry on August 27, 2019. The provider is doing business as Capital District Oral & Maxillofacial Surgeons.

Where is Southwoods Boulevard Dental, P.C. located?

Southwoods Boulevard Dental, P.C. is located at 7 Southwoods Blvd Ste 1, Albany, NY 12211. The listed phone number is (518) 445-2505.

What is Southwoods Boulevard Dental, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Southwoods Boulevard Dental, P.C. was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.