ALBANY ORAL - MAXILLOFACIAL SURGERY GROUP, LLP (NPI# 1679704431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679704431 |
| Entity Type | Organization |
| Organization Name | ALBANY ORAL - MAXILLOFACIAL SURGERY GROUP, LLP |
| Practice Address |
2 Executive Park Dr Albany NY 12203-3700 |
| Practice Telephone | 5184461001 |
| Practice Fax Number | 5184460802 |
| Mailing Telephone | 5184461001 |
| Mailing Fax Number | 5184460802 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | DR. LAWRENCE JAMES BUSINO (CO MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5184461001 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2 EXECUTIVE PARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190016 | Paul E. Lemanski | Internal Medicine | 2 Executive Park Dr, Albany, NY 12203-3700 | 2005-08-10 |
| 1861019408 | Linh Kim Donnell | Physician Assistant | 2 Executive Park Dr, Albany, NY 12203-3700 | 2020-06-30 |
| 1497380786 | Tracy J Salisbury | Nurse Practitioner | 2 Executive Park Dr, Albany, NY 12203-3700 | 2020-03-06 |
| 1508314824 | Brittany Ann Buza | Physician Assistant | 2 Executive Park Dr, 2nd Floor, Albany, NY 12203-3700 | 2016-09-15 |
| 1508229402 | Mohamed Bayoumy | Dentist | 2 Executive Park Dr, Albany, NY 12203-3700 | 2016-03-30 |
| 1750764353 | Kieran Liggan-casey | Nurse Practitioner | 2 Executive Park Dr, Albany, NY 12203-3700 | 2015-07-01 |
| 1750700258 | Ramsey Elhosn, Md P.C. | Clinic/Center | 2 Executive Park Dr, Albany, NY 12203-3700 | 2014-04-11 |
| 1316217540 | Alexis Lee Kleinman | Dentist | 2 Executive Park Dr, Albany Oms Group, Albany, NY 12203-3700 | 2012-01-04 |
| 1386937209 | Robert E Doriot II | Dentist | 2 Executive Park Dr, Albany, NY 12203-3700 | 2011-05-25 |
| 1598937898 | Ann Kieler M.d. P.C. | Ophthalmology | 2 Executive Park Dr, Albany, NY 12203-3700 | 2008-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1770741514 | Dr Stephen E Carney Dr Christopher H Reilly Dr Bret D Gelder | Dentist | 10 Airline Dr, Suite 204, Albany, NY 12205-1025 | 2008-05-29 |
| 1891902896 | Howerton, Hopkin & Kennedy LLC | Dentist | 1040 24th Ave Sw, Albany, OR 97321-7539 | 2007-05-17 |
| 1689763914 | Marvin L Allen Jr. | Dentist | 316 Fifth Avenue, Albany, GA 31701 | 2006-10-12 |
| 1962590604 | Frank Havelook White IIi | Dentist | 706 N Slappey Blvd, Albany, GA 31701 | 2006-10-10 |
| 1760573307 | Michael John Doucet | Dentist | 419 San Pablo Ave, Albany, CA 94706 | 2006-09-27 |
| 1992269799 | A Khalil Dds Apc | Dentist | 419 San Pablo Ave, Albany, CA 94706-1124 | 2019-01-25 |
| 1508229402 | Mohamed Bayoumy | Dentist | 2 Executive Park Dr, Albany, NY 12203-3700 | 2016-03-30 |
| 1508121534 | Timothy M Adams | Dentist | 7 Southwoods Blvd, Albany, NY 12211-2514 | 2012-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.