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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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: July 19, 2026.

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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