SOUTHWOODS BOULEVARD DENTAL, P.C.


Address: 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526
Phone: 5184452505

SOUTHWOODS BOULEVARD DENTAL, P.C. (NPI# 1730737545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730737545
Entity Type Organization
Organization Name SOUTHWOODS BOULEVARD DENTAL, P.C.
Practice Address 7 Southwoods Blvd Ste 1
Albany
NY 12211-2526
Mailing Address 171 Park Ave Ste 105
West Springfield
MA 01089-3364
Practice Telephone 5184452505
Mailing Telephone 4133827028
Enumeration Date 2019-08-27
Last Update Date 2019-08-27
Authorized Official Name AMY CADIEUX (INTEGRATION MANAGER)
Authorized Official Telephone 4133827022
Is Organization Subpart Y
Parent Organization Name SOUTHWOODS BOULEVARD DENTAL, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Capital District Oral & Maxillofacial Surgeons Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations SOUTHWOODS BOULEVARD DENTAL, P.C. 28 Liberty Street, Floor 42, New York, New York 10005

Office Location

Street Address 7 SOUTHWOODS BLVD STE 1
City ALBANY
State NY
Zip Code 12211-2526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578086260 Karen E Canniff Nurse Practitioner 7 Southwoods, Blvdcapital Cardiology Associates, PC, Albany, NY 12211 2017-07-25
1881931335 Arvinder Singh Anesthesiology 12 Fenway Drive, Albany, NY 12211 2013-01-03
1174795694 Quik Flight Ambulance 16 Jetway Drive, Albany, NY 12211 2008-03-25
1164543732 Judith C Tate Psychologist 46 Green Meadows Lane, Loudonville, NY 12211 2007-04-02
1942305776 Christopher J Lyons Dentist 476 Albany Shaker Rd, Loudonville, NY 12211 2006-09-14
1831293562 Antonio Boncordo Dentist 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 2006-09-12
1417060575 Laura Rodolakis Nurse Practitioner Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 2006-08-15
1134753577 Alexandra K Drzymalski Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2020-02-25
1679122782 Alyssa Hare Physician Assistant 7 Southwoods Blvd, Albany, NY 12211 2019-09-11
1568928737 Rebecca Lynn Stiles Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2019-02-13
Find all providers in zip 12211

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1316217540 Alexis Lee Kleinman Dentist 2 Executive Park Dr, Albany Oms Group, Albany, NY 12203-3700 2012-01-04
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 12211

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Dataset Information

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.

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