| East Hudson Oral And Maxillofacial Surgery, Pllc | |
|
500 Federal St Suite 202 Troy NY 12180-2832 | |
| (518) 272-3221 | |
| (518) 272-2005 |
| Full Name | East Hudson Oral And Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 500 Federal St, Troy, New York |
| Authorized Official Name and Position | Douglas Bruce Smail (OWNER) |
| Authorized Official Contact | 5182723221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Hudson Oral And Maxillofacial Surgery, Pllc 500 Federal St Suite 202 Troy NY 12180-2832 Ph: (518) 272-3221 | East Hudson Oral And Maxillofacial Surgery, Pllc 500 Federal St Suite 202 Troy NY 12180-2832 Ph: (518) 272-3221 |
| NPI Number | 1801016845 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801016845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 044679 (New York) | Primary |
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