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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Other Name | Type Code |
---|---|
Capital District Oral & Maxillofacial Surgeons | Doing Business As Name - Organization |
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 |
Street Address |
7 SOUTHWOODS BLVD STE 1 |
City | ALBANY |
State | NY |
Zip Code | 12211-2526 |
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 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 |
---|---|---|---|---|
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 |
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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.