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ADIRONDACK ORAL & MAXILLOFACIAL SURGERY
NPI 1831303569
Dentist - Oral and Maxillofacial Surgery in Albany, NY

Active since May 10, 2007
5 PALISADES DR, SUITE 210, ALBANY, NY 12205(518) 348-0634(518) 426-3221 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Adirondack Oral & Maxillofacial Surgery NPPES

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

ADIRONDACK ORAL & MAXILLOFACIAL SURGERY (NPI 1831303569) is a healthcare organization registered as an oral and maxillofacial surgery in Albany, New York and active in the NPI registry since May 2007. The organization lists Timothy Lynch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831303569
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameADIRONDACK ORAL & MAXILLOFACIAL SURGERY
Location Address5 PALISADES DR, SUITE 210Albany, NY 12205-6433
Mailing Address5 Palisades Dr, Suite 210Albany, NY 12205-6433 · (518) 348-0634 · Fax (518) 426-3221
Phone(518) 348-0634
Fax(518) 426-3221
Organization SubpartNo
Authorized OfficialTimothy LynchCeo · (518) 348-0634
Enumeration DateMay 10, 2007
Last NPPES UpdateDecember 3, 2018
✔ NPI 1831303569 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 · 034917✔ Licensed in NY · 045890✔ Licensed in NY · 053589✔ Licensed in NY · 055974✔ Licensed in NY · 050384✔ Licensed in NY · 049895✔ Licensed in NY · 50933
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.
5 PALISADES DR, Albany, NY 12205
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Other Identifiers 7

Medicaid03034008NY
Medicaid03474224NY
Medicaid02781340NY
Medicaid00563635NY
Medicaid02117393NY
Medicaid02926121NY
Medicaid02960649NY

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 20

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

LOUIS H GOLD MD
Internal Medicine (Pulmonary Disease)
5 PALISADES DR, STE100
ALBANY, NY 12205
Albany County (518) 438-4496
PRIME CARE PHYSICIANS, P.L.L.C.
Internal Medicine
5 PALISADES DR, SUITE 200
ALBANY, NY 12205
Albany County (518) 438-0019
MEAGAN JEAN GOFF ACNP-BC
Nurse Practitioner (Acute Care)
5 PALISADES DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 438-4996
KELLEY HULIHAN RPA-C
Physician Assistant (Surgical)
5 PALISADES DR, SUITE 220
ALBANY, NY 12205
Albany County (518) 438-5538
MELISSA E MITKOFF NP
Nurse Practitioner
5 PALISADES DR, STE100
ALBANY, NY 12205
Albany County (518) 438-4493
MS. ASHLEY DOBERT FNP
Internal Medicine (Pulmonary Disease)
5 PALISADES DR
ALBANY, NY 12205
Albany County (518) 438-4496
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES
Internal Medicine (Pulmonary Disease)
5 PALISADES DR
ALBANY, NY 12205
Albany County (518) 438-4496
DR. PIERPAOLO PRECERUTI DDS, MD
Dentist (Oral and Maxillofacial Surgery)
5 PALISADES DR
ALBANY, NY 12205
Albany County (518) 348-0634

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 Adirondack Oral & Maxillofacial Surgery's NPI number?

The NPI number for Adirondack Oral & Maxillofacial Surgery is 1831303569. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Adirondack Oral & Maxillofacial Surgery located?

Adirondack Oral & Maxillofacial Surgery is located at 5 Palisades Dr Suite 210, Albany, NY 12205. The listed phone number is (518) 348-0634.

What is Adirondack Oral & Maxillofacial Surgery'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 Adirondack Oral & Maxillofacial Surgery was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.